Organization Active NPI

Valley Care Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Tempe, AZ
National Provider Identifier
1457664252
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
478952 Issued in AZ
Legal business name
VALLEY CARE MEDICAL TRANSPORTATION
Practice address
2121 S 48TH St
Suite 104
Tempe, AZ 85282-1015
Phone
(602) 437-0106
Fax
(602) 437-0109
NPI assigned
Jul 21, 2010
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Mr. Abdelrahim Abdelrahman
Title
Ceo
Phone
(602) 697-0429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 478952 AZ Primary

Addresses

Primary practice location

2121 S 48TH St
Suite 104
Tempe, AZ 85282-1015

Mailing address

2559 W Tamarisk Ave
Phoenix, AZ 85041-2041
Phone (602) 697-0429

Other identifiers 1

IdentifierTypeStateIssuer
478952MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2121 S 48th St
Ste 104
Tempe, AZ 85282
Phone (602) 437-0106

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1457664252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 W TAMARISK AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850412041",
            "telephone_number": "602-697-0429",
            "fax_number": "602-437-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S 48TH ST",
            "address_2": "SUITE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821015",
            "telephone_number": "602-437-0106",
            "fax_number": "602-437-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "ABDELRAHMAN",
        "authorized_official_first_name": "ABDELRAHIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-697-0429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "478952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478952",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.