Active NPI
Care Van Incorporated
Doing business as Care Van
- Non-emergency Medical Transport (VAN)
- Glendale, CA
National Provider Identifier
1316050891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CARE VAN INCORPORATED
- Doing business as
- Care Van
- Practice address
- 1847 Dana St
Glendale, CA 91201-2044 - Phone
- (818) 502-0353
- Fax
- (818) 502-0147
- NPI assigned
- Aug 17, 2006
- Last updated
- Aug 22, 2020
- 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. Bradley K. Thesman
- Title
- President
- Phone
- (818) 502-0353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
1847 Dana St
Glendale, CA 91201-2044
Mailing address
1847 Dana St
Glendale, CA 91201-2044
Phone (818) 502-0353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN00971F | Medicaid | CA |
Other names 1
- Care Van
National Provider Directory
National Provider DirectoryLocations
1847 Dana St
Glendale, CA 91201
Phone (818) 502-0353
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316050891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 DANA ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012044",
"telephone_number": "818-502-0353",
"fax_number": "818-502-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 DANA ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912012044",
"telephone_number": "818-502-0353",
"fax_number": "818-502-0147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE VAN INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THESMAN",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-502-0353",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTN00971F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Van",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.