Organization Active NPI

Senior Mobility AIDS, Inc.

  • Customized Equipment (DME)
  • Carlsbad, CA
National Provider Identifier
1992237168
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
47079 Issued in CA
Legal business name
SENIOR MOBILITY AIDS, INC.
Practice address
2794 Loker Ave W Ste 102
Carlsbad, CA 92010
Phone
(760) 599-8800
Fax
(855) 928-2525
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Mr. Allen Lafayette Newsome Jr., ATP
Title
President
Phone
(760) 599-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 47079 CA Primary

Addresses

Primary practice location

2794 Loker Ave W Ste 102
Carlsbad, CA 92010

Mailing address

6965 El Camino Real # 105-253
Carlsbad, CA 92009-4100
Phone (442) 245-3006

Other names 1

  • San Diego Orthotics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Senior Mobility AIDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2727 Camino del Rio S
Ste 137B
San Diego, CA 92108

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1992237168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 EL CAMINO REAL # 105-253",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094100",
            "telephone_number": "442-245-3006",
            "fax_number": "855-928-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 LOKER AVE W STE 102",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92010",
            "telephone_number": "760-599-8800",
            "fax_number": "855-928-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MOBILITY AIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-599-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "47079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Diego Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.