Origin Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ORIGIN TRANSPORT LLC

Doing business as

Origin Ambulance

Practice address

6131 Orangethorpe Ave Ste 170R
Buena Park, CA 90620-1315

Phone

(949) 491-3352

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Arek Djermakian

Title

Ceo

Phone

(949) 491-3352

Specialties & licenses 2

Addresses

Other names 1

• Origin Ambulance Doing business as

Tax ID family

Origin Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Origin Transport LLC

  • Land Ambulance
  • Buena Park, CA
  • NPI 1679403117
  NPD tax ID

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1215665146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE STE 170R",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201315",
            "telephone_number": "949-491-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE STE 170R",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201315",
            "telephone_number": "949-491-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "DJERMAKIAN",
        "authorized_official_first_name": "AREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-491-3352"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Origin Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oliver S. Cruz, DDS, Inc.
• On Beach Surgery Center
• On My Way Non-Emergency Medical Transportation LLC
• Onecare Medical Supply
• Daniel J Opatz, RPH
• Origin Transport LLC
• Orthotechnix
• Ashley Ortiz
• Jessie Jesusyesenia Ortiz
• Eliza Tinio Ortizluis, LVN

• Non-emergency Medical Transport (VAN) in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.