Individual provider Active NPI

Aditya Mehta

  • Driver
  • Alameda, CA
National Provider Identifier
1184330292
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
Y8668484 Issued in CA
Practice address
1101 Marina Village Pkwy Ste 201
Alameda, CA 94501-6472
Phone
(279) 234-4455
NPI assigned
Jan 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Y8668484 CA Primary

Addresses

Primary practice location

1101 Marina Village Pkwy Ste 201
Alameda, CA 94501-6472

Mailing address

1101 Marina Village Pkwy Ste 201
Alameda, CA 94501-6472
Phone (279) 234-4455

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

State licenses

LicenseStateTypeSpecialty
Y8668484CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Redline Transit LLC Current Accepting new patients
Bayliner Transit L.L.C Current Accepting new patients

Locations

1101 Marina Village Pkwy
Ste 201
Alameda, CA 94501
Phone (510) 493-3438

Organizations & group practices 2

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1184330292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARINA VILLAGE PKWY STE 201",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016472",
            "telephone_number": "279-234-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MARINA VILLAGE PKWY STE 201",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016472",
            "telephone_number": "279-234-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ADITYA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "Y8668484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.