Adult Medical Transportation, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31250955 Issued in CA

Legal business name

ADULT MEDICAL TRANSPORTATION, INC

Practice address

7048 Darby Ave
Reseda, CA 91335

Phone

(818) 705-0100

Fax

(818) 705-6200

NPI assigned

Oct 16, 2006

Last updated

Sep 26, 2013By 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. Sergey Brusilovsky

Title

President

Phone

(818) 705-0100

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1316027170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 DARBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-705-0100",
            "fax_number": "818-705-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 DARBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-705-0100",
            "fax_number": "818-705-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICAL TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "BRUSILOVSKY",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-705-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "31250955",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "31250955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN00953F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Achieve Home Health Care, Inc
• Anna Adarna
• Dequincy K Adderly, MSW
• Folashade Adeneye
• Albina Adler, LAC
• Advanced Chiropractic Group
• Advanced Eye Specialists, LLC
• Advanced Home Dialysis, Inc
• Advanced Retina Associates Medical Group, Inc
• Affinity Personal Care Agency Inc

• Land Ambulance in Reseda, CA
• Providers in Reseda, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.