Ez Port, Inc.

Primary specialty

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

License

042138 Issued in CA

Legal business name

EZ PORT, INC.

Practice address

1966 Tice Valley Blvd
133
Walnut Creek, CA 94595-2203

Phone

(925) 285-6864

Fax

(925) 262-4608

NPI assigned

Apr 23, 2014

Organization subpart

No

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

Authorized official

Name

Lee Cabatingan

Title

President

Phone

(925) 285-6864

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1316367840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 TICE VALLEY BLVD",
            "address_2": "133",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952203",
            "telephone_number": "925-285-6864",
            "fax_number": "925-262-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 TICE VALLEY BLVD",
            "address_2": "133",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952203",
            "telephone_number": "925-285-6864",
            "fax_number": "925-262-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ PORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "CABATINGAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-285-6864"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "042138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell L Everest, M.D.
• Kayla Everhart
• Amy Evje
• Evolve Growth Initiatives LLC
• Exposure Therapy Designs - a LMFT Professional Corporation
• Samiah Ezell
• Catherine Faan
• Adrianna Bella Faasala-Mair
• Fadi G. Haddad, MD, Inc
• Christy Fagen

• Non-emergency Medical Transport (VAN) in Walnut Creek, CA
• Providers in Walnut Creek, 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 Apr 23, 2014; 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.