Individual provider Active NPI

Amadin Ogbebor

  • Non-emergency Medical Transport (VAN)
  • Roseville, CA
National Provider Identifier
1164033411
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
101 Creekside Ridge CT Ste 201-15
Roseville, CA 95678-3595
Phone
(916) 458-1190
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

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

Addresses

Primary practice location

101 Creekside Ridge CT Ste 201-15
Roseville, CA 95678-3595

Mailing address

101 Creekside Ridge CT Ste 201-15
Roseville, CA 95678-3595
Phone (916) 458-1190

Other practice location 1

5 Marcia Way Apt 257
Roseville, CA 95747-7719
Phone (916) 514-6169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royalplum LLC Non-Emergency Medical Transport (Van) Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1164033411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CREEKSIDE RIDGE CT STE 201-15",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783595",
            "telephone_number": "916-458-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CREEKSIDE RIDGE CT STE 201-15",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783595",
            "telephone_number": "916-458-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Marcia Way Apt 257",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957477719",
            "country_code": "US",
            "telephone_number": "916-514-6169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBEBOR",
        "first_name": "AMADIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.