Abdelrahman A Abdelrahman
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Bakersfield, CA
NPI 1104609189 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1104609189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 177770 (CA)
- Practice address
- 11702 Mezzadro Ave
Bakersfield, CA 93312-6708 - Phone
- (133) 645-6888
- NPI assigned
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177770 | CA | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 177770 | CA | Yes |
Addresses
Primary practice location
11702 Mezzadro Ave
Bakersfield, CA 93312-6708
Mailing address
11702 Mezzadro Ave
Bakersfield, CA 93312-6708
Phone (133) 645-6888
Other providers in Bakersfield, CA
- Rebecca Lynn Abair
- Jennifer Lynn Abapo
- Chad J. Abby
- Abc Health Professionals, Inc.
- Mariam Abdelmisseh
- Corollos Samir Abdelshehid
- Arian Abdi
- Sara Abdijadid
- Vincent Trinidad Abdon
- Wafik A Abdou
All providers in Bakersfield, CA · Non-emergency Medical Transport (VAN) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.