Amd Transport

Primary specialty

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

Legal business name

AMD TRANSPORT

Practice address

18062 Irvine Blvd Ste 101
Tustin, CA 92780-3328

Phone

(714) 343-0883

Fax

(949) 203-6111

NPI assigned

Oct 11, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hissah Aldhaban

Title

Cfo

Phone

(949) 910-9084

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1447725841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18062 IRVINE BLVD STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803328",
            "telephone_number": "714-343-0883",
            "fax_number": "949-203-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18062 IRVINE BLVD STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803328",
            "telephone_number": "714-343-0883",
            "fax_number": "949-203-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "ALDHABAN",
        "authorized_official_first_name": "HISSAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-910-9084"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Tustin, CA
• Providers in Tustin, 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 Oct 11, 2018; 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.