Organization Active NPI

Senior Mobility AIDS, Inc.

  • Customized Equipment (DME)
  • Carlsbad, CA
National Provider Identifier
1851403620
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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

Updated by the provider on Nov 27, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.