Organization Active NPI

KVL Med Transport LLC

  • Transportation Broker
  • Upland, CA
National Provider Identifier
1104719335
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
KVL MED TRANSPORT LLC
Practice address
1481 W 7TH St Apt 9
Upland, CA 91786-7058
Phone
(602) 538-8334
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Gabriel Braxton
Title
Officer
Phone
(602) 538-8334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

1481 W 7TH St Apt 9
Upland, CA 91786-7058

Mailing address

12201 Derby Royal Dr
Houston, TX 77044-2779
Phone (802) 503-9898

Other names 1

  • KMT Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1104719335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 DERBY ROYAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442779",
            "telephone_number": "802-503-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 7TH ST APT 9",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867058",
            "telephone_number": "602-538-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVL MED TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "602-538-8334"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.