Active NPI
Tobii Assistive Technology, Inc
- Customized Equipment (DME)
- San Diego, CA
National Provider Identifier
1871735258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 2107836
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME02503F | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.