Provider Demographics
NPI:1326173683
Name:ACCESSIBILITY MANAGEMENT INC
Entity Type:Organization
Organization Name:ACCESSIBILITY MANAGEMENT INC
Other - Org Name:ACCESSABILITY MEDICAL EQUIPMENT & SUPPLY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-225-1121
Mailing Address - Street 1:5627 STONERIDGE DR
Mailing Address - Street 2:SUITE 323
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8561
Mailing Address - Country:US
Mailing Address - Phone:925-460-9153
Mailing Address - Fax:925-460-9152
Practice Address - Street 1:5627 STONERIDGE DR
Practice Address - Street 2:SUITE 323
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8561
Practice Address - Country:US
Practice Address - Phone:925-460-9153
Practice Address - Fax:925-460-9152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103270332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA71330OtherCITY BUSINESS LICENSE
CA403537-41OtherFICTITIOUS BUSINESS NAME
CAC2563682OtherCORPORATION CERTIFICATION
CA100-545832OtherSELLER'S PERMIT
CA103270OtherSTATE LICENSE NUMBER
CA19057OtherHMDR EXEMPTEE LICENSE
CA18146OtherHMDR EXEMPTEE LICENSE
CA18593OtherHMDR EXEMPTEE LICENSE
CA403537-41OtherFICTITIOUS BUSINESS NAME