Mobile Medical Transportaiton Inc

Primary specialty

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

Legal business name

MOBILE MEDICAL TRANSPORTAITON INC

Practice address

18107 Sherman Way Ste 211
Reseda, CA 91335-8803

Phone

(424) 567-3177

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Manan M Khachatryan

Title

Ceo

Phone

(424) 567-3177

Specialties & licenses 1

Addresses

Other names 1

• Mobile medical transportaiton inc Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1346966983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18107 SHERMAN WAY STE 211",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358803",
            "telephone_number": "424-567-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18107 SHERMAN WAY STE 211",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358803",
            "telephone_number": "424-567-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL TRANSPORTAITON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "MANAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-567-3177"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MOBILEMEDTRANS",
            "affiliation": "N",
            "endpointDescription": "medical transportation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "transportation",
            "address_1": "18107 Sherman Way Ste 211",
            "city": "Reseda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913358803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mobile medical transportaiton inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Reseda, CA
• Providers in Reseda, 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 Oct 14, 2022; 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.