Organization Active NPI

Elevated Transport Services LLC

  • Non-emergency Medical Transport (VAN)
  • San Jose, CA
National Provider Identifier
1043996069
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ELEVATED TRANSPORT SERVICES LLC
Practice address
1060 Lincoln Ave Ste 20-1087
San Jose, CA 95125-3110
Phone
(510) 227-9175
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Tina Phillips
Title
Operator/Driver
Phone
(510) 227-9175

Specialties & licenses 1

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

Addresses

Primary practice location

1060 Lincoln Ave Ste 20-1087
San Jose, CA 95125-3110

Mailing address

1060 Lincoln Ave Ste 20-1087
San Jose, CA 95125-3110

National Provider Directory

National Provider Directory

Locations

1060 Lincoln Ave
San Jose, CA 95125
Phone (408) 900-2818

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1043996069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LINCOLN AVE STE 20-1087",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LINCOLN AVE STE 20-1087",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110",
            "telephone_number": "510-227-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OPERATOR/DRIVER",
        "authorized_official_telephone_number": "510-227-9175"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.