NPIMap

Organization Active NPI

Greenline Non-Emergency Medical Transportation, LLC

Doing business as Greenline Non-Emergency Medical, LLC Transportatio

  • Non-emergency Medical Transport (VAN)
  • El Segundo, CA
National Provider Identifier
1225629058
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GREENLINE NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Doing business as
Greenline Non-Emergency Medical, LLC Transportatio
Greenline Non-Emergency Medical, LLC Transportation
Practice address
360 N Pacific Coast Hwy Ste 2000
El Segundo, CA 90245-4532
Phone
(323) 849-9809
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Mr. Timothy De JurnettNPI 1811588668
Title
General Manager
Phone
(323) 435-3239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

360 N Pacific Coast Hwy Ste 2000
El Segundo, CA 90245-4532

Mailing address

360 N Pacific Coast Hwy Ste 2000
El Segundo, CA 90245-4532
Phone (323) 849-9809

Other names 2

  • Greenline Non-Emergency Medical, LLC Transportatio Doing business as
  • Greenline Non-Emergency Medical, LLC Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

360 N Pacific Coast Hwy
Ste 2000
El Segundo, CA 90245
Phone (310) 343-0837

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1225629058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 2000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454532",
            "telephone_number": "323-849-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 2000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454532",
            "telephone_number": "323-849-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLINE NON-EMERGENCY MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "DE JURNETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "323-435-3239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenline Non-Emergency Medical, LLC Transportatio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenline Non-Emergency Medical, LLC Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.