NPIMap

Organization Active NPI

Community Mobile Ultrasound, LLC

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
National Provider Identifier
1760620959
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
COMMUNITY MOBILE ULTRASOUND, LLC
Practice address
2141 S El Camino Real Ste a&B
Oceanside, CA 92054-9003
Phone
(510) 278-9030
Fax
(443) 842-7264
NPI assigned
Jan 27, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brian C Cuomo
Title
Authorized Official/Cfo
Phone
(800) 786-8015

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 97

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

View all 97

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN, NV, WA, OH, GA, NY, AZ, HI, TX, FL, VA, IL, KY, MD16 enrollments

Medicare enrollment records 16

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20091029000474 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4183761893 Practice locations: San Leandro, CA
O20160908002280 IN Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN
O20160920000003 NV Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20160920000218 WA Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 6 practitioners
Practice locations: Tukwila, WA
O20161005001811 OH Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 9 practitioners
Practice locations: Columbus, OH
O20161013000374 GA Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 23 practitioners
Practice locations: Hapeville, GA
O20161013002290 CA Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 9 practitioners
Practice locations: Oceanside, CA
O20161018000845 NY Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 19 practitioners
Practice locations: Valley Stream, NY
O20161019002548 AZ Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 5 practitioners
Practice locations: Phoenix, AZ
O20161024000959 HI Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 4 practitioners
Practice locations: Mililani, HI
O20170105002143 TX Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 39 practitioners
Practice locations: Carrollton, TX
O20170407000173 FL Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 13 practitioners
Practice locations: Clearwater, FL
O20180608000860 VA Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 4 practitioners
Practice locations: Richmond, VA
O20191231001248 IL Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 18 practitioners
Practice locations: Burr Ridge, IL
O20200117001124 KY Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 5 practitioners
Practice locations: Louisville, KY
O20200204000868 MD Part B Supplier - Clinic/Group Practice 4183761893 Receives reassigned benefits from 18 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

7776 S Pointe Pkwy W
Ste 150
Phoenix, AZ 85044
Phone (602) 281-4225

1700 150th Ave
Ashland, CA 94578
Phone (510) 278-9030

13773 Icot Blvd
Ste 502
Clearwater, FL 33760
Phone (727) 443-0389

1001 Virginia Ave
Ste 302
Hapeville, GA 30354
Phone (404) 205-5308

3418 Midcourt Rd
#105
Carrollton, TX 75006

3418 Midcourt Rd
Ste 105
Carrollton, TX 75006
Phone (214) 227-8988

1300 Boblett St
Blaine, WA 98230
Phone (702) 235-4955

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

2141 S El Camino Real Ste a&B
Oceanside, CA 92054-9003

Mailing address

215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone (800) 786-8015

Other practice location 1

70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233
Phone (800) 786-8015

Other practice location 2

2550 Corporate Exchange Dr Ste 15
Columbus, OH 43231-1660
Phone (800) 786-8015

Other practice location 3

3418 Midcourt Rd Ste 105
Carrollton, TX 75006-4944
Phone (800) 786-8015

Other practice location 4

2116 Dabney Rd Ste A1
Richmond, VA 23230-3341
Phone (800) 786-8015

Other practice location 5

1134 Industry Dr
Tukwila, WA 98188-4803
Phone (800) 786-8015

Other practice location 6

2901A Parnell Ave
Fort Wayne, IN 46805-2548
Phone (800) 786-8015

Other practice location 7

10948 Bigge St
San Leandro, CA 94577-1121
Phone (510) 300-8170

Other practice location 8

7776 S Pointe Pkwy W Ste 150
Phoenix, AZ 85044-5427
Phone (800) 786-8015

Other practice location 9

7355 Prairie Falcon Rd
Las Vegas, NV 89128-0801
Phone (800) 786-8015

Other practice location 10

2505 Lord Baltimore Dr Ste E
Baltimore, MD 21244-2673
Phone (800) 786-8015

Other practice location 11

9110 Leesgate Rd Ste 6
Louisville, KY 40222-5053
Phone (800) 786-8015

Other practice location 12

2901A Parnell Ave
Fort Wayne, IN 46805-2548
Phone (800) 786-8015

Other practice location 13

7700 Brush Hill Rd
Burr Ridge, IL 60527-7544
Phone (630) 521-1010

Other practice location 14

95-202 Halepio Pl
Mililani, HI 96789-5552
Phone (800) 786-8015

Other practice location 15

1001 Virginia Ave Ste 302
Hapeville, GA 30354-1367
Phone (800) 786-8015

Other practice location 16

2502 E University Dr Ste 290
Phoenix, AZ 85034-6932
Phone (800) 786-8015

Other practice location 17

4400 140th Ave N Ste 200-230
Clearwater, FL 33762-3832
Phone (800) 786-8015

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
P01099709OtherCARRMC
1760620959OtherNPI

Other names 1

NPPES NPI Registry
  • TridentCare Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2026.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1760620959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "800-786-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S EL CAMINO REAL STE A&B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549003",
            "telephone_number": "510-278-9030",
            "fax_number": "443-842-7264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 E Sunrise Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811233",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Corporate Exchange Dr Ste 15",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432311660",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3418 Midcourt Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750064944",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Dabney Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303341",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1134 Industry Dr",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981884803",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901A Parnell Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468052548",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10948 Bigge St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945771121",
            "country_code": "US",
            "telephone_number": "510-300-8170",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7776 S Pointe Pkwy W Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445427",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7355 Prairie Falcon Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280801",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 Lord Baltimore Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212442673",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9110 Leesgate Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225053",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901A Parnell Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468052548",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 Brush Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605277544",
            "country_code": "US",
            "telephone_number": "630-521-1010",
            "fax_number": "602-343-5856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95-202 Halepio Pl",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967895552",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Virginia Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hapeville",
            "state": "GA",
            "postal_code": "303541367",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2502 E University Dr Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850346932",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 140th Ave N Ste 200-230",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337623832",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY MOBILE ULTRASOUND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/CFO",
        "authorized_official_telephone_number": "800-786-8015"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P01099709",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760620959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TridentCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.