Innovative Medical Transport Services

Primary specialty

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

License

BL00069556 Issued in CA

Legal business name

INNOVATIVE MEDICAL TRANSPORT SERVICES

Practice address

1513 E Elma Privado
Ontario, CA 91764-4434

Phone

(909) 273-1444

Fax

(909) 933-2721

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John Faustino Kalugdan I, RN

Title

President

Phone

(909) 273-1444

Specialties & licenses 1

Addresses

Other names 1

• IMED TRANSPORT SERVICES Other name

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1427223635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 E ELMA PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644434",
            "telephone_number": "909-273-1444",
            "fax_number": "909-933-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 E ELMA PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644434",
            "telephone_number": "909-273-1444",
            "fax_number": "909-933-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL TRANSPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "KALUGDAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FAUSTINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-273-1444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "BL00069556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMED TRANSPORT SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Ontario, CA
• Providers in Ontario, 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 Jun 20, 2008; 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.