Mohamed Koko

Primary specialty

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

Practice address

4404 W Bethany Home Rd Apt 57
Glendale, AZ 85301-5423

Phone

(480) 521-1305

NPI assigned

May 26, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Az Wide Trans LLC

  • Non-emergency Medical Transport (VAN)
  • Glendale, AZ
  • NPI 1265125116
  NPD Authorized official

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1235822172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 W BETHANY HOME RD APT 57",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 W BETHANY HOME RD APT 57",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853015423",
            "telephone_number": "480-521-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKO",
        "first_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Vilasitha Kocherlakota, MD
• Cyenthia Louise Koehler, MD
• Suraya Kohgadai
• Gena Kohner, LPC, MPC
• Andrew Kokanoutranon, DMD
• Julianne Kokolus
• Kokopelli Eye Care PC
• Tobi Ayooluuwa Kolawole
• Kelly Marie Kolb, LMT
• Zarin B Kolia, M.D.

• Non-emergency Medical Transport (VAN) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.