Lifeline Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LIFELINE MEDICAL TRANSPORTATION

Practice address

11082 Coloma Rd Ste 10
Rancho Cordova, CA 95670-2875

Phone

(916) 638-2363

Fax

(916) 638-2364

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Anna Minasyan

Title

Owner

Phone

(916) 837-0452

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1144095233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11082 COLOMA RD STE 10",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702875",
            "fax_number": "916-638-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 COLOMA RD STE 10",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702875",
            "telephone_number": "916-638-2363",
            "fax_number": "916-638-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MINASYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-837-0452"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Lewis-Clark
• Stephanie Lewis
• June Hisako Lgoshi, RN
• Fangming Li, DMD
• Michael Zhihua Li, M.D.
• Liliya Golas MD Inc
• David Lim, PHARMD, BS
• Albert B Lin, MD
• Maria Lin
• Rayl-Loong Lin

• Non-emergency Medical Transport (VAN) in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.