Active NPI
Odon M Lorenzo
- Non-emergency Medical Transport (VAN)
- Carson, CA
National Provider Identifier
1003022443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- ODON M LORENZO
- Practice address
- 23517 Frigate Ave
Carson, CA 90745-5726 - Phone
- (310) 847-7888
- Fax
- (310) 830-8463
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Odon Miranda Lorenzo
- Title
- Owner Proprietor
- Phone
- (310) 350-3596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
23517 Frigate Ave
Carson, CA 90745-5726
Mailing address
23517 Frigate Ave
Carson, CA 90745-5726
Phone (310) 847-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9730536 | Medicaid | CA |
Other names 1
- Angels Care Medical Transportation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218758400000",
"number": "1003022443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23517 FRIGATE AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907455726",
"telephone_number": "310-847-7888",
"fax_number": "310-830-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23517 FRIGATE AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907455726",
"telephone_number": "310-847-7888",
"fax_number": "310-830-8463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODON M LORENZO",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-08-15",
"status": "A",
"authorized_official_last_name": "LORENZO",
"authorized_official_first_name": "ODON",
"authorized_official_middle_name": "MIRANDA",
"authorized_official_title_or_position": "OWNER PROPRIETOR",
"authorized_official_telephone_number": "310-350-3596",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9730536",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Angels Care Medical Transportation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.