Organization Active NPI

Five Leaf Colver Trucking LLC

  • Non-emergency Medical Transport (VAN)
  • Modesto, CA
National Provider Identifier
1043089675
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FIVE LEAF COLVER TRUCKING LLC
Practice address
1021 Orchid Ave
Modesto, CA 95355-4342
Phone
(510) 358-9900
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Jamal Colver
Title
Driver
Phone
(510) 358-9900

Specialties & licenses 1

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

Addresses

Primary practice location

1021 Orchid Ave
Modesto, CA 95355-4342

Mailing address

1021 Orchid Ave
Modesto, CA 95355-4342

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1043089675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 ORCHID AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 ORCHID AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554342",
            "telephone_number": "510-358-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE LEAF COLVER TRUCKING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "COLVER",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "DRIVER",
        "authorized_official_telephone_number": "510-358-9900"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.