Organization Active NPI

Universal Medical Transportation, Inc.

Doing business as Sunny Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Los Angeles, CA
National Provider Identifier
1144419730
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0000121902-0001-7 Issued in CA
Legal business name
UNIVERSAL MEDICAL TRANSPORTATION, INC.
Doing business as
Sunny Medical Transportation
Practice address
3739 Overland Ave
Los Angeles, CA 90034-6311
Phone
(310) 559-0888
Fax
(310) 559-1568
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mr. Timur Radzhabov
Title
Manager
Phone
(310) 559-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0000121902-0001-7 CA Primary

Addresses

Primary practice location

3739 Overland Ave
Los Angeles, CA 90034-6311

Mailing address

212 19TH St
Santa Monica, CA 90402-2408
Phone (310) 559-0888

Other identifiers 1

IdentifierTypeStateIssuer
MTN01137FMedicaidCA

Other names 1

  • Sunny Medical Transportation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunny Medical Transportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1144419730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 19TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022408",
            "telephone_number": "310-559-0888",
            "fax_number": "310-559-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346311",
            "telephone_number": "310-559-0888",
            "fax_number": "310-559-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "RADZHABOV",
        "authorized_official_first_name": "TIMUR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-559-0888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "0000121902-0001-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01137F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2007; 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.