Organization Active NPI

Pacific Care Non-Emergency Medical Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Van Nuys, CA
National Provider Identifier
1205306271
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PACIFIC CARE NON-EMERGENCY MEDICAL TRANSPORTATION INC
Practice address
14416 Victory Blvd Ste 218
Van Nuys, CA 91401-6260
Phone
(213) 458-9375
NPI assigned
Dec 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Lorenzo Carurucan
Title
Ceo/Founder
Phone
(213) 458-9375

Specialties & licenses 1

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

Addresses

Primary practice location

14416 Victory Blvd Ste 218
Van Nuys, CA 91401-6260

Mailing address

12621 Wixom St
N Hollywood, CA 91605-2146
Phone (213) 458-9375

Other names 2

  • Pacific Care Medcial Transportation Doing business as
  • Pacific Care Medical Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

14416 Victory Blvd
Ste 218
Van Nuys, CA 91401
Phone (213) 458-9375

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1205306271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 WIXOM ST",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052146",
            "telephone_number": "213-458-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 VICTORY BLVD STE 218",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016260",
            "telephone_number": "213-458-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARE NON-EMERGENCY MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "CARURUCAN",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "213-458-9375"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Care Medcial Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Care Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.