Organization Active NPI

Amen Non-Emergency Medical

  • Non-emergency Medical Transport (VAN)
  • Corona, CA
National Provider Identifier
1356053417
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AMEN NON-EMERGENCY MEDICAL
Practice address
917 Acacia St
Corona, CA 92879-2602
Phone
(323) 535-8303
NPI assigned
Dec 20, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Philiet Spaine
Title
Registrant
Phone
(323) 535-8303

Specialties & licenses 1

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

Addresses

Primary practice location

917 Acacia St
Corona, CA 92879-2602

Mailing address

917 Acacia St
Corona, CA 92879-2602
Phone (323) 535-8303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1356053417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 ACACIA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792602",
            "telephone_number": "323-535-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 ACACIA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792602",
            "telephone_number": "323-535-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEN NON-EMERGENCY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "SPAINE",
        "authorized_official_first_name": "PHILIET",
        "authorized_official_title_or_position": "REGISTRANT",
        "authorized_official_telephone_number": "323-535-8303"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.