Organization Active NPI

Wellness Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Los Angeles, CA
National Provider Identifier
1114703675
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WELLNESS TRANSPORTATION LLC
Practice address
1850 Whitley Ave Apt 915
Los Angeles, CA 90028-4795
Phone
(207) 347-9805
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Dr. Michael Meseret Tibebu, PHARM.DNPI 1225628720
Title
Pharmacist
Phone
(207) 347-9805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1850 Whitley Ave Apt 915
Los Angeles, CA 90028-4795

Mailing address

1850 Whitley Ave Apt 915
Los Angeles, CA 90028-4795
Phone (207) 347-9805

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1114703675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WHITLEY AVE APT 915",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284795",
            "telephone_number": "207-347-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WHITLEY AVE APT 915",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284795",
            "telephone_number": "207-347-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "TIBEBU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MESERET",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "207-347-9805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.