Organization Active NPI

Alive Medical and Transportation Inc.

  • Private Vehicle
  • Torrance, CA
National Provider Identifier
1023765989
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
ALIVE MEDICAL AND TRANSPORTATION INC.
Practice address
21171 S Western Ave Ste 2710
Torrance, CA 90501-1728
Phone
(973) 517-7713
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Mukhtair Tunde Idris
Title
Ceo
Phone
(973) 517-7713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

21171 S Western Ave Ste 2710
Torrance, CA 90501-1728

Mailing address

21171 S Western Ave Ste 2710
Torrance, CA 90501-1728
Phone (973) 517-7713

National Provider Directory

National Provider Directory

Locations

21171 S Western Ave
Ste 2710
Torrance, CA 90501
Phone (424) 229-4150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1023765989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21171 S WESTERN AVE STE 2710",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011728",
            "telephone_number": "973-517-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21171 S WESTERN AVE STE 2710",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011728",
            "telephone_number": "973-517-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE MEDICAL AND TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "IDRIS",
        "authorized_official_first_name": "MUKHTAIR",
        "authorized_official_middle_name": "TUNDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-517-7713"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.