Mobile Picc Nurse LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOBILE PICC NURSE LLC

Doing business as

Precision Vascular Access

Practice address

10981 San Diego Mission Rd Ste 112
San Diego, CA 92108-2448

Phone

(619) 693-7399

Fax

(877) 887-9814

NPI assigned

Oct 17, 2017

Last updated

Jul 2, 2025By 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

Kevin Rogers, MPH

Title

President/Ceo

Phone

(619) 962-6985

Specialties & licenses 2

Addresses

Other names 1

• Precision Vascular Access Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801307822. Details of each certification follow.

• CCN 55C0001192 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 55C0001192

Legal name

Precision Vascular Access

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 21, 2024

Last certification

Aug 27, 2024

Facility address

10981 San Diego Mission Rd
San Diego, CA 92108

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marivic Guzman, BSN RN, VA-BC

  • Registered Nurse
  • San Diego, CA
  • NPI 1649757337
  NPD

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1801307822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10981 SAN DIEGO MISSION RD STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082448",
            "telephone_number": "619-693-7399",
            "fax_number": "877-887-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10981 SAN DIEGO MISSION RD STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082448",
            "telephone_number": "619-693-7399",
            "fax_number": "877-887-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PICC NURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-962-6985",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Vascular Access",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan Ali Moazzam, M.D.
• Caroline Moberly
• Mobile Care Medical Providers
• Mobile Medical Group (Call Doctor Medical Group)
• Mobile Medical Group (Call Doctor Medical Group)
• Mobile Wound Care Physician Assistant Corporation (Mobile Wound Care)
• Mobileonedocs LLC
• Mobilept4U Physical Therapy Inc (Mobilept4u)
• Mobilia DMD Inc. (rancho bernardo cosmetic and family dental)
• John Arthur Mobilia, D.M.D.

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.