Organization Active NPI

Amaris Medical Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Porter Ranch, CA
National Provider Identifier
1114875325
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AMARIS MEDICAL TRANSPORT LLC
Practice address
12230 Shady Hollow LN
Porter Ranch, CA 91326-3862
Phone
(818) 612-8511
NPI assigned
Mar 21, 2026
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Andy Tacay, RN,BSN
Title
Owner
Phone
(818) 612-8511

Specialties & licenses 1

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

Addresses

Primary practice location

12230 Shady Hollow LN
Porter Ranch, CA 91326-3862

Mailing address

12230 Shady Hollow LN
Porter Ranch, CA 91326-3862
Phone (818) 612-8511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1114875325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 SHADY HOLLOW LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263862",
            "telephone_number": "818-612-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 SHADY HOLLOW LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263862",
            "telephone_number": "818-612-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARIS MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-21",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "TACAY",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-612-8511",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.