St Agnes Non-Emergency Medical Transportation LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

ST AGNES NON-EMERGENCY MEDICAL TRANSPORTATION LLC

Doing business as

Vega Transportation

Practice address

30427 Delta Dr
Nuevo, CA 92567-9470

Phone

(562) 419-5050

NPI assigned

Jan 25, 2022

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Agnes Kima Eyong, DR.NPI 1255996658

Title

Manager

Phone

(562) 419-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VEGA TRANSPORTATION Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnes Kima Eyong, CNS

  • General Practice Registered Nurse
  • Riverside, CA
  • NPI 1255996658
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1053063677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30427 DELTA DR",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925679470",
            "telephone_number": "562-419-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30427 DELTA DR",
            "city": "NUEVO",
            "state": "CA",
            "postal_code": "925679470",
            "telephone_number": "562-419-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AGNES NON-EMERGENCY MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "EYONG",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "KIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-419-5050",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255996658",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nuevo",
            "affiliation": "N",
            "endpointDescription": "Laptops  where  it has secured antivirus apps",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30427 Delta Dr",
            "city": "Nuevo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925679470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "VEGA TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Transportation Network Company in Nuevo, CA
• Providers in Nuevo, CA by specialty
• Transportation Network Company in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.