Organization Active NPI

Prolific Healthcare Services

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1053049833
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PROLIFIC HEALTHCARE SERVICES
Practice address
5106 Joyce PL
San Diego, CA 92105-3741
Phone
(619) 788-0530
NPI assigned
Aug 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Elmoge Abukar
Title
Ceo
Phone
(619) 788-0530

Specialties & licenses 1

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

Addresses

Primary practice location

5106 Joyce PL
San Diego, CA 92105-3741

Mailing address

5106 Joyce PL
San Diego, CA 92105-3741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1053049833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 JOYCE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 JOYCE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053741",
            "telephone_number": "619-788-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "ABUKAR",
        "authorized_official_first_name": "ELMOGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-788-0530"
    },
    "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 Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.