MEDICARE: CALIFORNIA MOBILITY INC.

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1457280695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA MOBILITY INC.

Provider Business Mailing Address
First Line	:	5150 FAIR OAKS BLVD # 302
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-5758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 REDDING AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-2166
Country	:	US
Telephone Number	:	916-541-2344
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DOMINIC COOKE
Credential	:
Telephone Number	:	916-541-2344

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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