Absolute Non Emergency Transport

Primary specialty

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

License

201520110295 Issued in CA

Legal business name

ABSOLUTE NON EMERGENCY TRANSPORT

Practice address

801 Boulder Ave
Lathrop, CA 95330-9207

Phone

(209) 624-0252

NPI assigned

Sep 26, 2016

Organization subpart

No

Name

Fredrick Martinez

Title

Manager

Phone

(209) 624-0252

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2016.

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1457800930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BOULDER AVE",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953309207",
            "telephone_number": "209-624-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BOULDER AVE",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953309207",
            "telephone_number": "209-624-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE NON EMERGENCY TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-624-0252"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "201520110295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lathrop, CA
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.