Organization Active NPI

Vip Express Transport, Inc.

  • Non-emergency Medical Transport (VAN)
  • Oakland, CA
National Provider Identifier
1447267562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
VIP EXPRESS TRANSPORT, INC.
Practice address
4621 Foothill Blvd
Oakland, CA 94601-4635
Phone
(510) 569-6255
Fax
(510) 569-6574
NPI assigned
Aug 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Mishun Hazel Abrams
Title
President
Phone
(510) 569-6255

Specialties & licenses 1

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

Addresses

Primary practice location

4621 Foothill Blvd
Oakland, CA 94601-4635

Mailing address

4621 Foothill Blvd
Oakland, CA 94601-4635
Phone (510) 569-6255

Other identifiers 1

IdentifierTypeStateIssuer
MTN01171FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447267562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 FOOTHILL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946014635",
            "telephone_number": "510-569-6255",
            "fax_number": "510-569-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 FOOTHILL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946014635",
            "telephone_number": "510-569-6255",
            "fax_number": "510-569-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP EXPRESS TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "MISHUN",
        "authorized_official_middle_name": "HAZEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-569-6255",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01171F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.