Active NPI
KVL Med Transport LLC
- Transportation Broker
- Upland, CA
National Provider Identifier
1104719335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.