Organization Active NPI

Wheelchairs of San Mateo

  • Customized Equipment (DME)
  • Burlingame, CA
National Provider Identifier
1801967625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
100778 Issued in CA
Legal business name
WHEELCHAIRS OF SAN MATEO
Practice address
808 Burlway Rd Ste 7
Burlingame, CA 94010-1710
Phone
(650) 342-4864
Fax
(650) 342-4868
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Antonio Gutierrez
Title
Owner
Phone
(650) 342-4864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 100778 CA Primary

Addresses

Primary practice location

808 Burlway Rd Ste 7
Burlingame, CA 94010-1710

Mailing address

808 Burlway Rd Ste 7
Burlingame, CA 94010-1710
Phone (650) 342-4864

Other identifiers 1

IdentifierTypeStateIssuer
DME01712FMedicaidCA

Other names 1

  • WHEELCHAIR TECH. Other name

National Provider Directory

National Provider Directory

Locations

808 Burlway Rd
Ste 7
Burlingame, CA 94010
Phone (650) 342-4864

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801967625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BURLWAY RD STE 7",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101710",
            "telephone_number": "650-342-4864",
            "fax_number": "650-342-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BURLWAY RD STE 7",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101710",
            "telephone_number": "650-342-4864",
            "fax_number": "650-342-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELCHAIRS OF SAN MATEO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-342-4864",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "100778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01712F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHEELCHAIR TECH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.