Champion Medical Transport

Primary specialty

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

Legal business name

CHAMPION MEDICAL TRANSPORT

Practice address

2001 Oxford Ave Apt 7
Fullerton, CA 92831-1633

Phone

(626) 422-0528

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Edward Inocencio

Title

Ceo

Phone

(626) 422-0528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1043084783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 OXFORD AVE APT 7",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311633",
            "telephone_number": "626-422-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 OXFORD AVE APT 7",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311633",
            "telephone_number": "626-422-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "INOCENCIO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-422-0528"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelen Chaires
• Joseph M. Chakar, D.D.S.
• Wesley E Cham, OT
• Racha Chamlati
• Jessica Chamorro
• Jasmine Chan-Ruiz, PT, DPT
• Amy Adaly Chan
• Andrea Y. Chan IV, OTR
• Cecilia Y Chan, DC
• Danny Chan

• Non-emergency Medical Transport (VAN) in Fullerton, CA
• Providers in Fullerton, 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 13, 2023; 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.