Organization Active NPI

Mobility in Medicine, Inc

  • Early Intervention Provider Agency
  • Oakland, CA
National Provider Identifier
1962732867
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MOBILITY IN MEDICINE, INC
Practice address
2807 55TH Ave
Oakland, CA 94605-1107
Phone
(510) 846-0762
Fax
(510) 569-6039
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Mr. Paul Browne Sr.
Title
President/Ceo
Phone
(510) 846-0762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2807 55TH Ave
Oakland, CA 94605-1107

Mailing address

2807 55TH Ave
Oakland, CA 94605-1107
Phone (510) 846-0762

National Provider Directory

National Provider Directory

Locations

2807 55th Ave
Oakland, CA 94605
Phone (510) 846-0762

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1962732867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 55TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946051107",
            "telephone_number": "510-846-0762",
            "fax_number": "510-569-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 55TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946051107",
            "telephone_number": "510-846-0762",
            "fax_number": "510-569-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY IN MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "510-846-0762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

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