MOBILITY MASTERS NORTHERN CALIFORNIA INC. (NPI# 1265539217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265539217 |
| Entity Type | Organization |
| Organization Name | MOBILITY MASTERS NORTHERN CALIFORNIA INC. |
| Other Organization Name | MOBILITY MASTERS |
| Practice Address |
1575 Farmers Lane Santa Rosa CA 95405-7525 |
| Practice Telephone | 7075251994 |
| Practice Fax Number | 7075251920 |
| Mailing Telephone | 7075251994 |
| Mailing Fax Number | 7075251920 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | RENATE SUSAN TIPSWORD (CEO) |
| Authorized Official Telephone | 7075251994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 103424 | CA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DME03080F | 05 | |
| CA | BLUE CROSS | 089322152002 | 01 |
| Other Name | Type Code |
|---|---|
| Mobility Masters | Doing Business As Name - Organization |
| Street Address |
1575 FARMERS LANE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070852 | Signature Health Supplies | Durable Medical Equipment & Medical Supplies | 5510 Skylane Blvd Ste 101a, Santa Rosa, CA 95403-1029 | 2020-07-22 |
| 1013531920 | Sg Homecare, Inc | Durable Medical Equipment & Medical Supplies | 5550 Skylane Blvd Ste G, Santa Rosa, CA 95403-1072 | 2020-06-05 |
| 1295284248 | Abrea Tillman | Durable Medical Equipment & Medical Supplies | 215 Regency Ct, Santa Rosa, CA 95401-9011 | 2016-09-30 |
| 1215183496 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 955 Stony Point Road, Santa Rosa, CA 95407-4728 | 2008-08-07 |
| 1497948780 | Richard M Wilcox | Durable Medical Equipment & Medical Supplies | 2322 Midway Dr, Santa Rosa, CA 95405 | 2007-08-21 |
| 1720137649 | Sonoma Surgical A Corp | Durable Medical Equipment & Medical Supplies | 4975 Sonoma Hwy, Santa Rosa, CA 95409-4240 | 2007-01-09 |
| 1487763900 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1793 Marlow Road, Santa Rosa, CA 95401-4474 | 2006-08-29 |
| 1083728877 | The Spalding Group Inc | Durable Medical Equipment & Medical Supplies | 750 Mendocino Ave, #9, Santa Rosa, CA 95401 | 2006-08-18 |
| 1629086970 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 3663 N Laughlin Rd Ste 103, Santa Rosa, CA 95403-9067 | 2006-08-03 |
| 1043225329 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3093 Marlow Rd, Santa Rosa, CA 95403-2426 | 2006-07-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on MOBILITY MASTERS NORTHERN CALIFORNIA INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.