NPIMap

Organization Active NPI

Gallant Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Sun City, CA
National Provider Identifier
1407287576
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GALLANT MEDICAL TRANSPORTATION
Practice address
27740 Encanto Dr
Sun City, CA 92586-4521
Phone
(951) 672-4965
Fax
(951) 672-4966
NPI assigned
Nov 27, 2013
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
GALLANT MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Young Dennis Ahn
Title
Ceo
Phone
(951) 672-4965

Specialties & licenses 1

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

Addresses

Primary practice location

27740 Encanto Dr
Sun City, CA 92586-4521

Mailing address

27740 Encanto Dr
Sun City, CA 92586-4521
Phone (951) 672-4965

National Provider Directory

National Provider Directory
Tax ID family
Gallant Medical Transportation3 organizations share this tax ID, including this one
Part of
Gallant Medical Transportation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1407287576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27740 ENCANTO DR",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925864521",
            "telephone_number": "951-672-4965",
            "fax_number": "951-672-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27740 ENCANTO DR",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925864521",
            "telephone_number": "951-672-4965",
            "fax_number": "951-672-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLANT MEDICAL TRANSPORTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALLANT MEDICAL SUPPLY, INC.",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-672-4965"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.