Activus Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ACTIVUS TRANSPORT LLC

Practice address

3670 Clairemont Dr Ste 6
San Diego, CA 92117-5960

Phone

(866) 619-4911

Fax

(619) 444-1180

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Edwen Lopez Jr.

Title

Director of Operations

Phone

(619) 495-2319

Specialties & licenses 1

Addresses

Tax ID family

Activus Transport LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Activus Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Escondido, CA
  • NPI 1689357238
  NPD tax ID

Locations

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1033070438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 CLAIREMONT DR STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175960",
            "telephone_number": "866-619-4911",
            "fax_number": "619-444-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 CLAIREMONT DR STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175960",
            "telephone_number": "866-619-4911",
            "fax_number": "619-444-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVUS TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EDWEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "619-495-2319",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in San Diego, CA
• Providers in San Diego, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.