1326173683 NPI number — ACCESSIBILITY MANAGEMENT INC

Table of content: (NPI 1326173683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326173683 NPI number — ACCESSIBILITY MANAGEMENT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCESSIBILITY MANAGEMENT INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326173683
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5627 STONERIDGE DR
Provider Second Line Business Mailing Address:
SUITE 323
Provider Business Mailing Address City Name:
PLEASANTON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94588-8561
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-460-9153
Provider Business Mailing Address Fax Number:
925-460-9152

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5627 STONERIDGE DR
Provider Second Line Business Practice Location Address:
SUITE 323
Provider Business Practice Location Address City Name:
PLEASANTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94588-8561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-460-9153
Provider Business Practice Location Address Fax Number:
925-460-9152
Provider Enumeration Date:
02/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PETERSON
Authorized Official First Name:
LANCE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
925-225-1121

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  103270 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 71330 . This is a "CITY BUSINESS LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 403537-41 . This is a "FICTITIOUS BUSINESS NAME" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: C2563682 . This is a "CORPORATION CERTIFICATION" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 100-545832 . This is a "SELLER'S PERMIT" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 103270 . This is a "STATE LICENSE NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 19057 . This is a "HMDR EXEMPTEE LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 18146 . This is a "HMDR EXEMPTEE LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 18593 . This is a "HMDR EXEMPTEE LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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