Organization
ACTIVE MOBILITY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD ISA SHALIKAR SR. DME (OWNER)
(760) 962-1050
Entity
Organization
Contact information
Practice address
14330 7TH ST, VICTORVILLE, CA 92395-4212
(760) 962-1050
(760) 962-1060
Mailing address
14330 7TH ST, VICTORVILLE, CA 92395-4212
(760) 962-1050
(760) 962-1060
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
138362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
486756900
U.S. DEPT. OF LABOR-FECA
CA
05
—
DME 03297F
—
CA
Enumeration date
05/07/2007
Last updated
06/21/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up