Organization Active NPI

Elite Mobility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Modesto, CA
National Provider Identifier
1912923608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE MOBILITY, INC.
Practice address
400 12TH St Ste 14
Modesto, CA 95354-2410
Phone
(209) 544-8380
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Shanelle Elise Garcia
Title
Ceo/Cfo
Phone
(209) 544-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

400 12TH St Ste 14
Modesto, CA 95354-2410

Mailing address

400 12TH St Ste 14
Modesto, CA 95354-2410
Phone (209) 544-8380

National Provider Directory

National Provider Directory

Locations

400 12th St
Ste 14
Modesto, CA 95354
Phone (209) 544-8380

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912923608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 12TH ST STE 14",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542410",
            "telephone_number": "209-544-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 12TH ST STE 14",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542410",
            "telephone_number": "209-544-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SHANELLE",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "209-544-8380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, 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.

Verify at the official NPI Registry.