Organization Active NPI

Elite Medtrans LLC

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
National Provider Identifier
1013628650
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE MEDTRANS LLC
Practice address
160 S Old Springs Rd Ste 100-D
Anaheim, CA 92808-1260
Phone
(714) 989-3150
Fax
(714) 602-6855
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamed Mansour
Title
Co-Owner
Phone
(714) 989-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

160 S Old Springs Rd Ste 100-D
Anaheim, CA 92808-1260

Mailing address

160 S Old Springs Rd Ste 100-D
Anaheim, CA 92808-1260
Phone (714) 989-3150

National Provider Directory

National Provider Directory

Locations

1807 W Katella Ave
Ste 212
Anaheim, CA 92804

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1013628650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 100-D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081260",
            "telephone_number": "714-989-3150",
            "fax_number": "714-602-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S OLD SPRINGS RD STE 100-D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081260",
            "telephone_number": "714-989-3150",
            "fax_number": "714-602-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDTRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "714-989-3150"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.