Superior Mobility, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

101318 Issued in CA

Legal business name

SUPERIOR MOBILITY, INC.

Practice address

1901 Holser Walk
Suite 302
Oxnard, CA 93036-2633

Phone

(805) 640-1332

Fax

(805) 604-1334

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Douglas Zaer

Title

Ceo

Phone

(310) 755-6480

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Superior Mobility, Inc.

  • Customized Equipment (DME)
  • Carson, CA
  • NPI 1255313698

  3577680826

  Same PAC ID

Tax ID family

Superior Mobility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Superior Mobility, Inc.

  • Customized Equipment (DME)
  • Carson, CA
  • NPI 1255313698
  NPD tax ID

Locations

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1972586071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E 220TH ST STE 208",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101651",
            "telephone_number": "310-755-6480",
            "fax_number": "310-212-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HOLSER WALK",
            "address_2": "SUITE 302",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362633",
            "telephone_number": "805-640-1332",
            "fax_number": "805-604-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "ZAER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-755-6480"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "101318",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02892F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sunshine Eye Services
• Alejandra Supan
• Valerie Elizabeth Supan, LCSW
• Kenneth Supin
• Kristine Supple, PA
• Supreme Care Hospice Inc
• Anagha Suresh, M.D.
• Gurrehma Suri

• All providers in Oxnard, CA
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.