Active NPI
Icare Non-Emergency Medical Transportation, LLC
- Non-emergency Medical Transport (VAN)
- Garden Grove, CA
National Provider Identifier
1295065670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- ICARE NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
- Practice address
- 9766 Chapman Ave # B
Garden Grove, CA 92841-2719 - Phone
- (714) 638-2452
- Fax
- (714) 638-2453
- NPI assigned
- Jan 6, 2010
- 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
- Dung Phan
- Title
- Director of Operations
- Phone
- (714) 638-2452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
9766 Chapman Ave # B
Garden Grove, CA 92841-2719
Mailing address
9766 Chapman Ave # B
Garden Grove, CA 92841-2719
Phone (714) 638-2452
National Provider Directory
National Provider DirectoryLocations
9766 Chapman Ave
Ste B
Garden Grove, CA 92841
Phone (714) 638-2452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1295065670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9766 CHAPMAN AVE # B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412719",
"telephone_number": "714-638-2452",
"fax_number": "714-638-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9766 CHAPMAN AVE # B",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928412719",
"telephone_number": "714-638-2452",
"fax_number": "714-638-2453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE NON-EMERGENCY MEDICAL TRANSPORTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "DUNG",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "714-638-2452"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.