MOBILE PICC NURSE LLC NPI 1801307822

NPI Information

  • NPI: 1801307822
  • Provider Name: MOBILE PICC NURSE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • Address: 10981 SAN DIEGO MISSION RD STE 112
    SAN DIEGO, CA
    ZIP 92108
  • Phone: (619) 693-7399

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NPI Details

MOBILE PICC NURSE LLC is an ambulatory surgical clinic center in San Diego, CA. MOBILE PICC NURSE LLC NPI is 1801307822. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

10981 SAN DIEGO MISSION RD STE 112
SAN DIEGO, CA
ZIP 92108-448
Phone: (619) 693-7399
Fax: (877) 887-9814

The provider's authorized official is Kevin Rogers .
The authorized official title is President/ceo and has the following contact phone number (619) 962-6985.

The enumeration date for this NPI number is 10/17/2017 and was last updated on 7/2/2025.

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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierNo
2261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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