Acess to San Diego

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

101302 Issued in CA

Legal business name

ACESS TO SAN DIEGO

Doing business as

The Access Center Spoke Shop

Practice address

1295 University Ave Ste 2
Suite 2
San Diego, CA 92103-3333

Phone

(619) 296-8012

Fax

(619) 296-5269

NPI assigned

Sep 21, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth P Decima

Title

Manager of Business Enterprises

Phone

(619) 296-8012

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Access Center Spoke Shop Doing business as

Tax ID family

Access to Independence of San Diego Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Access to Independence of San Diego Inc.

  • Case Management Agency
  • San Diego, CA
  • NPI 1083039861
  NPD tax ID
• Access to Independence of San Diego, Inc.

  • Case Management Agency
  • San Diego, CA
  • NPI 1760115661
  NPD tax ID
• Access to Independence of San Diego, Inc.

  • Case Management Agency
  • San Diego, CA
  • NPI 1871787721
  NPD tax ID

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1689773228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 UNIVERSITY AVE",
            "address_2": "SUITE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033333",
            "telephone_number": "619-296-8012",
            "fax_number": "619-296-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 UNIVERSITY AVE STE 2",
            "address_2": "SUITE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033333",
            "telephone_number": "619-296-8012",
            "fax_number": "619-296-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACESS TO SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DECIMA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER OF BUSINESS ENTERPRISES",
        "authorized_official_telephone_number": "619-296-8012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "101302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00068F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Access Center Spoke Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina Acebo
• Doris Tamayo Aceron, RN
• Traci A Acers, LPCC
• Aces 2020, LLC (Aces)
• Aces MH Services PC
• Maria Alejandra Acevedo-Hernandez, APCC
• Anais Acevedo
• Judy Acevedo, CI45810125
• Leslye Acevedo
• Mary Alice Acevedo, MD

• Customized Equipment (DME) in San Diego, CA
• Providers in San Diego, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.