MEDICARE: DOC'S MEDICAL MART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		CA

General Provider Information

NPI Number	:	1356485361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOC'S MEDICAL MART

Provider Business Mailing Address
First Line	:	19100 BIG BASIN WAY
Second Line	:
City	:	BOULDER CREEK
State	:	CA
Zip	:	95006-8570
Country	:	US
Telephone Number	:	831-338-6552
Fax Number	:	831-338-7777

Provider Business Practice Location Address
First Line	:	4670 CENTRAL WAY STE B
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-1806
Country	:	US
Telephone Number	:	707-864-6680
Fax Number	:	707-864-1140

Authorized Official
Title or Position	:	OWNER
Name	:	JOCELYN BISCHOFF
Credential	:
Telephone Number	:	831-338-6552

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	07/21/2022

Similar Medicare Providers

1174201404 — RENAL TREATMENT CENTERS CALIFORNIA INC.
Practice Location Address:

4670 CENTRAL WAY STE D
FAIRFIELD, CA
94534-1806

Practice Phone: 615-341-6282
Practice Fax:

1467467894 — DR. KATHERINE CORCORAN PHD
Practice Location Address:

2434 N FAIRFIELD AVE
CHICAGO, IL
60647-1806

Practice Phone: 773-235-0379
Practice Fax:

1982072526 — RICARDO FLORES DDS
Practice Location Address:

470 CHADBOURNE RD STE A
FAIRFIELD, CA
94534-9620

Practice Phone: 707-419-8989
Practice Fax: 707-258-0606

1174302418 — CAMERYN RICHARDSON
Practice Location Address:

2450 MARTIN RD STE 100
FAIRFIELD, CA
94534-1018

Practice Phone: 855-223-7123
Practice Fax:

1912690066 — STACY BRUTON
Practice Location Address:

480 CHADBOURNE RD
FAIRFIELD, CA
94534-9639

Practice Phone: 510-317-1444
Practice Fax:

1740051192 — ALEXANDRA CHRISTINA MOLLO
Practice Location Address:

2450 MARTIN RD # 100
FAIRFIELD, CA
94534-1018

Practice Phone: 855-223-7123
Practice Fax:

Directions to “DOC'S MEDICAL MART ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.