Excel Med-Trans LLC

Primary specialty

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

License

201505710547 Issued in CA

Legal business name

EXCEL MED-TRANS LLC

Practice address

5589 Leitrim Way
Antioch, CA 94531-8630

Phone

(925) 522-5461

Fax

(408) 904-5007

NPI assigned

May 28, 2015

Last updated

May 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Claudius B Wilson

Title

General Manager/ Owner

Phone

(925) 289-6467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1285013938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 LEITRIM WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318630",
            "telephone_number": "925-522-5461",
            "fax_number": "408-904-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 LEITRIM WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318630",
            "telephone_number": "925-522-5461",
            "fax_number": "408-904-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MED-TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CLAUDIUS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GENERAL MANAGER/ OWNER",
        "authorized_official_telephone_number": "925-289-6467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "201505710547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Antioch, CA
• Providers in Antioch, 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 May 28, 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.