Professional Med Transportation LLC

Primary specialty

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

Legal business name

PROFESSIONAL MED TRANSPORTATION LLC

Practice address

3524 Delta Queen Ave
Sacramento, CA 95833-9638

Phone

(279) 790-9260

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Adedeji Adedoja

Title

Owner

Phone

(279) 790-9260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1346080041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 DELTA QUEEN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958339638",
            "telephone_number": "279-790-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 DELTA QUEEN AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958339638",
            "telephone_number": "279-790-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MED TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "ADEDOJA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ADEDEJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "279-790-9260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Sacramento, CA
• Providers in Sacramento, 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 May 30, 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.