Organization Active NPI

Fenix2022 Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Walnut Creek, CA
National Provider Identifier
1427754688
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FENIX2022 TRANSPORTATION LLC
Practice address
1865 Lacassie Ave Apt 1
Walnut Creek, CA 94596-4039
Phone
(559) 301-3357
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Mr. Jorge Luis Egocheaga Berggren
Title
Managing- Member
Phone
(559) 301-3357

Specialties & licenses 1

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

Addresses

Primary practice location

1865 Lacassie Ave Apt 1
Walnut Creek, CA 94596-4039

Mailing address

1865 Lacassie Ave Apt 1
Walnut Creek, CA 94596-4039
Phone (559) 301-3357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1427754688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 LACASSIE AVE APT 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964039",
            "telephone_number": "559-301-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 LACASSIE AVE APT 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964039",
            "telephone_number": "559-301-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX2022 TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "EGOCHEAGA BERGGREN",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MANAGING- MEMBER",
        "authorized_official_telephone_number": "559-301-3357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.