Organization Active NPI

Tobii Assistive Technology, Inc

  • Customized Equipment (DME)
  • San Diego, CA
National Provider Identifier
1871735258
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2107836 Issued in CA
Legal business name
TOBII ASSISTIVE TECHNOLOGY, INC
Practice address
11219 Moranda CT
San Diego, CA 92128-4086
Phone
(858) 679-9538
Fax
(858) 679-9539
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Tara Rudnicki
Title
President & Coo
Phone
(781) 461-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2107836 CA Primary

Addresses

Primary practice location

11219 Moranda CT
San Diego, CA 92128-4086

Mailing address

11219 Moranda CT
San Diego, CA 92128-4086
Phone (858) 679-9538

Other identifiers 1

IdentifierTypeStateIssuer
DME02503FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1871735258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 MORANDA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284086",
            "telephone_number": "858-679-9538",
            "fax_number": "858-679-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 MORANDA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284086",
            "telephone_number": "858-679-9538",
            "fax_number": "858-679-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBII ASSISTIVE TECHNOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "RUDNICKI",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "781-461-8200"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "2107836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02503F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.