Organization Active NPI

Medlink Medical Transport,Inc.

Doing business as Medlink Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Gardena, CA
National Provider Identifier
1265536312
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDLINK MEDICAL TRANSPORT,INC.
Doing business as
Medlink Medical Transport
Practice address
1919 W Redondo Beach Blvd Ste 102
Gardena, CA 90247-3655
Phone
(310) 630-0850
Fax
(310) 769-1402
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Mr. Arthur D Lim
Title
President
Phone
(310) 630-0850

Specialties & licenses 1

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

Addresses

Primary practice location

1919 W Redondo Beach Blvd Ste 102
Gardena, CA 90247-3655

Mailing address

14716 S Mariposa Ave
Gardena, CA 90247-2908
Phone (310) 630-0850

Other identifiers 1

IdentifierTypeStateIssuer
MTN01056GMedicaidCA

Other names 1

  • Medlink Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

1919 W Redondo Beach Blvd
Ste 102
Gardena, CA 90247
Phone (310) 630-0850

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1265536312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14716 S MARIPOSA AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472908",
            "telephone_number": "310-630-0850",
            "fax_number": "310-769-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W REDONDO BEACH BLVD STE 102",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473655",
            "telephone_number": "310-630-0850",
            "fax_number": "310-769-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK MEDICAL TRANSPORT,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-630-0850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01056G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medlink Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.