Liberty Medical Transportation

Primary specialty

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

License

77653N1 Issued in CA

Legal business name

LIBERTY MEDICAL TRANSPORTATION

Practice address

1190 S Winery Ave
Apt 105
Fresno, CA 93727-6902

Phone

(559) 960-7631

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Yenesaw Wasihun Negatu I

Title

Owner

Phone

(559) 960-7631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1255716684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S WINERY AVE",
            "address_2": "APT 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276902",
            "telephone_number": "559-960-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S WINERY AVE",
            "address_2": "APT 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276902",
            "telephone_number": "559-960-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "NEGATU",
        "authorized_official_first_name": "YENESAW",
        "authorized_official_middle_name": "WASIHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-960-7631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "77653N1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Liao, PHARMD
• Cheng-Hsung Liao
• CHI Jung Liao, RPH
• Daniel Liao, M.D.
• Schuyler Weifu Liao, PH.D.
• Robert D Libke, M.D.
• Lice Busters LLC
• Hugo Licea, M.S.W.
• Dana Lichtenstein
• Ron Lichtenstein, MD

• Non-emergency Medical Transport (VAN) in Fresno, CA
• Providers in Fresno, 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 27, 2015; 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.