Active NPI
Jalal Harun
- Secured Medical Transport (VAN)
- Taylorsville, UT
National Provider Identifier
1205559184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Secured Medical Transport (VAN)
- License
- J62501265
- Practice address
- 5347 S 2150 W
Taylorsville, UT 84129-1360 - Phone
- (385) 630-5678
- NPI assigned
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | J62501265 | AZ | Primary |
Addresses
Primary practice location
5347 S 2150 W
Taylorsville, UT 84129-1360
Mailing address
5347 S 2150 W
Taylorsville, UT 84129-1360
Phone (385) 630-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J62501265 | Other | AZ | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| J62501265 | AZ | MD | Secured Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1205559184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5347 S 2150 W",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841291360",
"telephone_number": "385-630-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5347 S 2150 W",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841291360",
"telephone_number": "385-630-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARUN",
"first_name": "JALAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "AZ",
"license": "J62501265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "J62501265",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.