NPIMap

Organization Active NPI

Direct Line

  • Non-emergency Medical Transport (VAN)
  • Antelope, CA
National Provider Identifier
1154422368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
304410 Issued in CA
Legal business name
DIRECT LINE
Practice address
4949 Dillon Cross Way
Antelope, CA 95843-5617
Phone
(916) 727-0403
Fax
(916) 727-1541
NPI assigned
Sep 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rebecca P TenazasNPI 1689851685
Title
Ceo
Phone
(916) 727-0403

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 304410 CA Primary

Addresses

Primary practice location

4949 Dillon Cross Way
Antelope, CA 95843-5617

Mailing address

4949 Dillon Cross Way
Antelope, CA 95843-5617
Phone (916) 727-0403

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154422368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 DILLON CROSS WAY",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958435617",
            "telephone_number": "916-727-0403",
            "fax_number": "916-727-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 DILLON CROSS WAY",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958435617",
            "telephone_number": "916-727-0403",
            "fax_number": "916-727-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENAZAS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-727-0403",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "304410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antelope, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.