NPIMap

Organization Active NPI

Comfort Medical Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Stockton, CA
National Provider Identifier
1154699684
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
201130210011 Issued in CA
Legal business name
COMFORT MEDICAL TRANSPORT LLC
Practice address
10633 Arianne Dr
Stockton, CA 95209-4330
Phone
(209) 487-3772
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Mr. Romel Veridiano Acuavera
Title
Owner
Phone
(209) 487-3772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 201130210011 CA Primary

Addresses

Primary practice location

10633 Arianne Dr
Stockton, CA 95209-4330

Mailing address

10633 Arianne Dr
Stockton, CA 95209-4330
Phone (209) 487-3772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1154699684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10633 ARIANNE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094330",
            "telephone_number": "209-487-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10633 ARIANNE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094330",
            "telephone_number": "209-487-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "ACUAVERA",
        "authorized_official_first_name": "ROMEL",
        "authorized_official_middle_name": "VERIDIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-487-3772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "201130210011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.