Active NPI
Jolly Transport Incorporated
- Non-emergency Medical Transport (VAN)
- Azusa, CA
National Provider Identifier
1427401025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- JOLLY TRANSPORT INCORPORATED
- Practice address
- 269 Evergreen CT
Azusa, CA 91702-6220 - Phone
- (323) 828-5658
- NPI assigned
- Jul 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joy S Dela Cruz
- Title
- Corporate Secretary/Coo
- Phone
- (626) 224-1848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
269 Evergreen CT
Azusa, CA 91702-6220
Mailing address
269 Evergreen CT
Azusa, CA 91702-6220
Phone (323) 828-5658
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513814400000",
"number": "1427401025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 EVERGREEN CT",
"city": "AZUSA",
"state": "CA",
"postal_code": "917026220",
"telephone_number": "323-828-5658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 EVERGREEN CT",
"city": "AZUSA",
"state": "CA",
"postal_code": "917026220",
"telephone_number": "323-828-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOLLY TRANSPORT INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-19",
"last_updated": "2017-12-21",
"status": "A",
"authorized_official_last_name": "DELA CRUZ",
"authorized_official_first_name": "JOY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CORPORATE SECRETARY/COO",
"authorized_official_telephone_number": "626-224-1848",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.