Organization Active NPI

Fix'D Wheels

  • Non-emergency Medical Transport (VAN)
  • Tracy, CA
National Provider Identifier
1366973828
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FIX'D WHEELS
Practice address
68 E 11TH St Ste 115
Tracy, CA 95376-4089
Phone
(209) 666-7178
NPI assigned
Mar 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jaime Albert MedinaNPI 1437690799
Title
President/Driver
Phone
(209) 666-7178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

68 E 11TH St Ste 115
Tracy, CA 95376-4089

Mailing address

68 E 11TH St Ste 115
Tracy, CA 95376-4089
Phone (209) 666-7178

National Provider Directory

National Provider Directory

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": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366973828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 E 11TH ST STE 115",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764089",
            "telephone_number": "209-666-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 E 11TH ST STE 115",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764089",
            "telephone_number": "209-666-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIX'D WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT/DRIVER",
        "authorized_official_telephone_number": "209-666-7178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.