Mobile Clinic Team Ca LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MOBILE CLINIC TEAM CA LLC

Practice address

3400 Cottage Way Ste G2-23492
Sacramento, CA 95825-1474

Phone

(818) 796-5355

NPI assigned

Apr 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick RobertsNPI 1619796497

Title

Administrator

Phone

(818) 796-5355

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Roberts

  • Technician
  • Sacramento, CA
  • NPI 1619796497
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1689426512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 COTTAGE WAY STE G2-23492",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 COTTAGE WAY STE G2-23492",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251474",
            "telephone_number": "818-796-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CLINIC TEAM CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-796-5355"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Mnatsakanian
• Lihong Mo, M.D.
• Steven Tsungyu Mo, M.D
• Muhammad Moazzam
• Mobile Care Transport Inc
• Mobile Senior Activities
• Mobixhealth
• Cynthia Mock
• Elbert L Mock III, PHARMD
• Milad Modabber, MD, FRCSC, MS

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.