ACTIVE MOBILITY CENTER INC. NPI 1629281779

NPI Information

NPI: 1629281779
Provider Name: ACTIVE MOBILITY CENTER INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
14330 7TH ST
VICTORVILLE, CA
ZIP 92395
Phone: (760) 962-1050
Get Directions

ACTIVE MOBILITY CENTER INC. is a customized equipment durable medical equipment medical supplies in Victorville, CA. ACTIVE MOBILITY CENTER INC. NPI is 1629281779. The provider is registered as an organization entity type.

The provider's business location address is:

14330 7TH ST
VICTORVILLE, CA
ZIP 92395-212
Phone: (760) 962-1050
Fax: (760) 962-1060

The provider's authorized official is Mohammad Isa Shalikar .
The authorized official title is Owner and has the following contact phone number (760) 962-1050.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	138362	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DME 03297F	MEDICAID	CALIFORNIA
2	=========	OTHER	CALIFORNIA	PPO INSURANCES
3	486756900	OTHER	CALIFORNIA	U.S. DEPT. OF LABOR-FECA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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