Active NPI
Wheelchairs of San Mateo
- Customized Equipment (DME)
- Burlingame, CA
National Provider Identifier
1801967625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 100778
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME01712F | Medicaid | CA |
Other names 1
- WHEELCHAIR TECH.
National Provider Directory
National Provider DirectoryLocations
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.