Active NPI
Medlink Medical Transport,Inc.
Doing business as Medlink Medical Transport
- Non-emergency Medical Transport (VAN)
- Gardena, CA
National Provider Identifier
1265536312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN01056G | Medicaid | CA |
Other names 1
- Medlink Medical Transport
National Provider Directory
National Provider DirectoryLocations
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.