A Medi Mobility

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

D8170348 Issued in CA

Legal business name

A MEDI MOBILITY

Practice address

625 E Main St
Santa Maria, CA 93455-4505

Phone

(805) 260-5389

Fax

(805) 347-7734

NPI assigned

Jun 28, 2013

Last updated

Jun 28, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ACI MEDICAL SUPPLIESAs reported in NPPES

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

Authorized official

Name

Patricia Ann Okerblom

Title

Owner

Phone

(805) 260-5389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1952741480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544505",
            "telephone_number": "805-347-7717",
            "fax_number": "805-347-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554505",
            "telephone_number": "805-260-5389",
            "fax_number": "805-347-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MEDI MOBILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACI MEDICAL SUPPLIES",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "OKERBLOM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-260-5389"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "D8170348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A.T. Still University - College for Healthy Communities
• Romansa Abayon
• Kim R. Abbananto, LMFT #42108
• Isabelle Abboud
• Omar Abdel-Rahim, DDS

• Customized Equipment (DME) in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.