Organization Active NPI

SKM Agency

  • Non-emergency Medical Transport (VAN)
  • Elk Grove, CA
National Provider Identifier
1336776970
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SKM AGENCY
Practice address
9245 Laguna Springs Dr
Elk Grove, CA 95758-7987
Phone
(714) 981-1010
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Mohamed Basma
Title
Manager
Phone
(714) 981-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

9245 Laguna Springs Dr
Elk Grove, CA 95758-7987

Mailing address

9245 Laguna Springs Dr
Elk Grove, CA 95758-7987
Phone (714) 981-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skmtransit@skm.com

National Provider Directory

National Provider Directory

Locations

9245 Laguna Springs Dr
Elk Grove, CA 95758
Phone (916) 241-3666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1336776970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 LAGUNA SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587987",
            "telephone_number": "714-981-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 LAGUNA SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587987",
            "telephone_number": "714-981-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKM AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "BASMA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-981-1010"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skmtransit@skm.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "address_1": "9245 Laguna Springs Dr",
            "city": "Elk Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957587987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.