Organization Active NPI

Compass-Nemt LLC

  • Driver
  • Santa Clarita, CA
National Provider Identifier
1073356234
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
COMPASS-NEMT LLC
Practice address
28548 Bud CT
Santa Clarita, CA 91350-1222
Phone
(661) 233-7719
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Tereza Yacoub Ivanof
Title
Owner/Agent
Phone
(661) 755-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

28548 Bud CT
Santa Clarita, CA 91350-1222

Mailing address

28548 Bud CT
Santa Clarita, CA 91350-1222
Phone (661) 233-7719

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1073356234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28548 BUD CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913501222",
            "telephone_number": "661-233-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28548 BUD CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913501222",
            "telephone_number": "661-233-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS-NEMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-16",
        "status": "A",
        "authorized_official_last_name": "YACOUB IVANOF",
        "authorized_official_first_name": "TEREZA",
        "authorized_official_title_or_position": "OWNER/AGENT",
        "authorized_official_telephone_number": "661-755-5610"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.