Organization Active NPI

Jacob Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1063709350
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
20141323 Issued in AZ
Legal business name
JACOB TRANSPORTATION INC
Practice address
5052 N 35TH Dr
Phoenix, AZ 85019-2702
Phone
(602) 866-7777
Fax
(602) 866-7786
NPI assigned
Jul 7, 2011
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Mr. Jacob Yousif Abualokul Jr.
Title
Owner/ Presidnet
Phone
(602) 866-7777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 20141323 AZ Primary
Taxi 344600000X 20141323 AZ

Addresses

Primary practice location

5052 N 35TH Dr
Phoenix, AZ 85019-2702

Mailing address

5052 N 35 TH Dr
Phoenix, AZ 85019
Phone (602) 866-7777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1063709350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 N 35 TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85019",
            "telephone_number": "602-866-7777",
            "fax_number": "602-866-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 N 35TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850192702",
            "telephone_number": "602-866-7777",
            "fax_number": "602-866-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "ABUALOKUL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "YOUSIF",
        "authorized_official_title_or_position": "OWNER/ PRESIDNET",
        "authorized_official_telephone_number": "602-866-7777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "20141323",
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "AZ",
            "license": "20141323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.