Organization Active NPI

Primecare Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Fort Worth, TX
National Provider Identifier
1013801083
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PRIMECARE MEDICAL TRANSPORTATION LLC
Practice address
3209 N Main St Ste 107
Fort Worth, TX 76106-5941
Phone
(559) 705-3500
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Abdulrahman T Al Khulaidi
Title
Owner
Phone
(510) 684-4245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3209 N Main St Ste 107
Fort Worth, TX 76106-5941

Mailing address

3209 N Main St Ste 107
Fort Worth, TX 76106-5941
Phone (559) 705-3500

National Provider Directory

National Provider Directory

Locations

3209 N Main St
Ste 107
Fort Worth, TX 76106
Phone (559) 705-3500

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1013801083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 N MAIN ST STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761065941",
            "telephone_number": "559-705-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 N MAIN ST STE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761065941",
            "telephone_number": "559-705-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "AL KHULAIDI",
        "authorized_official_first_name": "ABDULRAHMAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-684-4245"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.