Organization Active NPI

Our House Transportation

  • Land Ambulance
  • Carson, CA
National Provider Identifier
1255576807
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
T66729 Issued in CA
Legal business name
OUR HOUSE TRANSPORTATION
Practice address
1123 E Dominguez St.
Suite B & C
Carson, CA 90746
Phone
(310) 763-4998
Fax
(310) 886-3064
NPI assigned
Dec 11, 2008
Organization subpart
Yes
Parent organization
OUR HOUSE TRANSPORTATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Barbara W. Shalwan
Title
Administrator
Phone
(310) 763-4998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X T66729 CA Primary

Addresses

Primary practice location

1123 E Dominguez St.
Suite B & C
Carson, CA 90746

Mailing address

1123 E Dominguez St.
Suite B & C
Carson, CA 90746
Phone (310) 763-4998

Other identifiers 1

IdentifierTypeStateIssuer
HX0402OtherCAVENDOR #

National Provider Directory

National Provider Directory
Part of
Our House Transportation

Locations

1123 E Dominguez St
Ste B
Carson, CA 90746
Phone (310) 763-4998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1255576807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 E DOMINGUEZ ST.",
            "address_2": "SUITE B & C",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90746",
            "telephone_number": "310-763-4998",
            "fax_number": "310-886-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 E DOMINGUEZ ST.",
            "address_2": "SUITE B & C",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90746",
            "telephone_number": "310-763-4998",
            "fax_number": "310-886-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE TRANSPORTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR HOUSE TRANSPORTATION",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "SHALWAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-763-4998"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "T66729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR #",
            "identifier": "HX0402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.