Organization Active NPI

Lavish Transportation LLC

  • Transportation Network Company
  • Spring Valley, CA
National Provider Identifier
1447912381
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
LAVISH TRANSPORTATION LLC
Practice address
458 Grand Ave Apt a
Spring Valley, CA 91977-5930
Phone
(917) 214-7505
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Abdurahman Aidarus Mohamed
Title
Owner
Phone
(917) 214-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary

Addresses

Primary practice location

458 Grand Ave Apt a
Spring Valley, CA 91977-5930

Mailing address

3468 Citrus St Ste I
Lemon Grove, CA 91945-1503
Phone (917) 214-7505

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL URL Direct

National Provider Directory

National Provider Directory

Locations

3468 Citrus St
Ste I
Lemon Grove, CA 91945
Phone (619) 214-0085

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1447912381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 CITRUS ST STE I",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451503",
            "telephone_number": "917-214-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 GRAND AVE APT A",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775930",
            "telephone_number": "917-214-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVISH TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDURAHMAN",
        "authorized_official_middle_name": "AIDARUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-214-7505"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "ZIXMASTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "458 Grand Ave Apt A",
            "city": "Spring Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919775930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.