Individual provider Active NPI

Success Nwokolo

  • Non-emergency Medical Transport (VAN)
  • Gardena, CA
National Provider Identifier
1407634330
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
879 West 190TH Street Suite400 RM48
Gardena, CA 90248-9024
Phone
(424) 382-2831
NPI assigned
Sep 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

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

Addresses

Primary practice location

879 West 190TH Street Suite400 RM48
Gardena, CA 90248-9024

Mailing address

518 W Queen St Apt 311
Inglewood, CA 90301-4764
Phone (424) 382-2831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Medical Transportation Inc Non-Emergency Medical Transport (Van) CurrentSince Sep 24, 2023 Accepting new patients

Locations

879 W 190th St
Ste 400
Gardena, CA 90248
Phone (310) 692-4229

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1407634330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W QUEEN ST APT 311",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014764",
            "telephone_number": "424-382-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 WEST 190TH STREET SUITE400 RM48",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902489024",
            "telephone_number": "424-382-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKOLO",
        "first_name": "SUCCESS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.