Organization Active NPI

Care Van Incorporated

Doing business as Care Van

  • Non-emergency Medical Transport (VAN)
  • Glendale, CA
National Provider Identifier
1316050891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MTN00971FMedicaidCA

Other names 1

  • Care Van Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.