Active NPI
Fremont Uniform and Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Fremont, CA
National Provider Identifier
1700984218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FREMONT UNIFORM AND MEDICAL SUPPLY INC
- Practice address
- 644 Mowry Avenue
Fremont, CA 94536-4113 - Phone
- (510) 791-5586
- Fax
- (510) 791-0112
- NPI assigned
- Sep 20, 2006
- Last updated
- Sep 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anita Mohite
- Title
- Ceo
- Phone
- (510) 791-5586
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Prosthetic/Orthotic Supplier | 335E00000X | NU |
Addresses
Primary practice location
644 Mowry Avenue
Fremont, CA 94536-4113
Mailing address
644 Mowry Avenue
Fremont, CA 94536-4113
Phone (510) 791-5586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02260F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930081883 | CA | DME Supplier - Medical Supply Company | 3678694668 | Practice locations: Fremont, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fremont Uniform and Medical Supply | Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
644 Mowry Ave
Fremont, CA 94536
Phone (510) 791-5586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695772800000",
"number": "1700984218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 MOWRY AVENUE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364113",
"telephone_number": "510-791-5586",
"fax_number": "510-791-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 MOWRY AVENUE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364113",
"telephone_number": "510-791-5586",
"fax_number": "510-791-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREMONT UNIFORM AND MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "MOHITE",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-791-5586"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME02260F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
- Fremont Rehab
- Fremont Sleep Apnea Center, LLC (Sleep Diagnostics of Fremont)
- Fremont SNF Healthcare, LLC (Mission Valley Post Acute)
- Fremont Surgery Center North
- Fremont Unified School District
- Fremont Vascular and Vein Inc
- Fremont Vision Optix Optometry
- Marietta Frey, MD
- Jamilah Friday, M.D.
- Stephanie Friduss, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.