Mark A Mejia Hudson

Primary specialty

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

Practice address

24680 Court St # B
San Bernardino, CA 92410-4934

Phone

(909) 492-0555

NPI assigned

Jul 8, 2021

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.

• Kooley Transportation

  • Non-emergency Medical Transport (VAN)
  • San Bernardino, CA
  • NPI 1679144786
  NPD Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1245801596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24680 COURT ST # B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104934",
            "telephone_number": "909-492-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24680 COURT ST # B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104934",
            "telephone_number": "909-492-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MARK",
        "middle_name": "A MEJIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherrlynn Moneaka Hubbard, LCSW
• Robert John Hubbard, M.D.
• Hudson & Walker - a Physical Therapy Corporation
• Andrew Calvin Hudson
• Bryan Edward Hudson Sr., CBEST,CSET
• Esther Molder Huecker, O.T.R.
• Adriana Huerta Velador
• Angela Christina Huerta
• Eva Huerta
• Honey J Huerta

• Non-emergency Medical Transport (VAN) in San Bernardino, CA
• Providers in San Bernardino, 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 Jul 8, 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.