NPIMap

Organization Active NPI

Bronze Owl LLC

  • Non-emergency Medical Transport (VAN)
  • Concord, CA
National Provider Identifier
1184169229
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
94375 Issued in CA
Legal business name
BRONZE OWL LLC
Practice address
1424 Cape Cod Way
Concord, CA 94521
Phone
(805) 369-4935
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Ms. Antoinette Cecile Williams, RNNPI 1861784381
Title
Owner
Phone
(805) 369-4935

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 94375 CA Primary

Addresses

Primary practice location

1424 Cape Cod Way
Concord, CA 94521

Mailing address

3752 Briar LN
Orange Park, FL 32065
Phone (805) 369-4935

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.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1184169229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 BRIAR LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32065",
            "telephone_number": "805-369-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 CAPE COD WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94521",
            "telephone_number": "805-369-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONZE OWL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "CECILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-369-4935",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "94375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.