Calstate Medical

Primary specialty

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

Legal business name

CALSTATE MEDICAL

Practice address

2019 N Lincoln St
Burbank, CA 91504-3334

Phone

(818) 744-3436

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Galust Garry Ghumashyan

Title

Owner

Phone

(818) 744-3436

Specialties & licenses 5

Addresses

Other names 1

• CalState Medical Transportation Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1346916269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10757 NASSAU AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402545",
            "telephone_number": "818-744-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 N LINCOLN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043334",
            "telephone_number": "818-744-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALSTATE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "GHUMASHYAN",
        "authorized_official_first_name": "GALUST",
        "authorized_official_middle_name": "GARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-744-3436"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416S0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Water Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "calstatemedical@outlook.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Sunland CA",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2019 N Lincoln St",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915043334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CalState Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Sleep Center
• Bennett Call
• Jaemy Calles
• Cindy Portillo Calona
• Calstate EMS
• Mikayla Calverley
• Olivia Grace Nelson Calvi
• Bianca Calvillo
• Jazmin Calvillo
• Deborah M Camara, RNC NNP CPNP

• Non-emergency Medical Transport (VAN) in Burbank, CA
• Providers in Burbank, 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 Aug 19, 2021; 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.