Active NPI
Senior Mobility AIDS, Inc.
- Customized Equipment (DME)
- Carlsbad, CA
National Provider Identifier
1851403620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SENIOR MOBILITY AIDS, INC.
- Practice address
- 2794 Loker Ave W Ste 102
Carlsbad, CA 92010-6616 - Phone
- (760) 599-8800
- Fax
- (760) 599-8844
- NPI assigned
- Aug 31, 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. Allen Lafayette Newsome Jr., ATP
- Title
- President
- Phone
- (760) 599-8800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 103174 | CA | |
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
2794 Loker Ave W Ste 102
Carlsbad, CA 92010-6616
Mailing address
6965 El Camino Real # 105-253
Carlsbad, CA 92009-4100
Phone (760) 599-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930093227 | CA | DME Supplier - Medical Supply Company With Orthotic Personnel | 5799805768 | Practice locations: Carlsbad, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Senior Mobility AIDS Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Carlsbad, CA
- NPI 1992237168
-
- Customized Equipment (DME)
- Walla Walla, WA
- NPI 1104409457
Locations
2794 Loker Ave W
Ste AND102
Carlsbad, CA 92010
Phone 76059988001001
2794 Loker Ave W
Ste 102
Carlsbad, CA 92010
Phone (760) 599-8800
2236 Rutherford Rd
Ste 107
Carlsbad, CA 92008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732665600000",
"number": "1851403620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6965 EL CAMINO REAL # 105-253",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920094100",
"telephone_number": "760-599-8800",
"fax_number": "760-599-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2794 LOKER AVE W STE 102",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920106616",
"telephone_number": "760-599-8800",
"fax_number": "760-599-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR MOBILITY AIDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A",
"authorized_official_last_name": "NEWSOME",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "LAFAYETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-599-8800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "ATP"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "103174",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.