Organization Active NPI

Medester LLC

  • Non-emergency Medical Transport (VAN)
  • Berkeley, CA
National Provider Identifier
1467510784
Registry record updated Mar 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
200640009614 Issued in CA
Legal business name
MEDESTER LLC
Practice address
1013 Pardee St Ste 211
Berkeley, CA 94710-2646
Phone
(510) 666-8666
Fax
(510) 740-3603
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2015

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

Authorized official

Name
Mr. Girma Dejene Tadesse I
Title
Owner
Phone
(510) 672-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 200640009614 CA Primary

Addresses

Primary practice location

1013 Pardee St Ste 211
Berkeley, CA 94710-2646

Mailing address

1013 Pardee St Ste 211
Berkeley, CA 94710-2646
Phone (510) 666-8666

National Provider Directory

National Provider Directory

Locations

1013 Pardee St
Ste 211
Berkeley, CA 94710
Phone (510) 666-8666

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1467510784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 PARDEE ST STE 211",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102646",
            "telephone_number": "510-666-8666",
            "fax_number": "510-740-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 PARDEE ST STE 211",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102646",
            "telephone_number": "510-666-8666",
            "fax_number": "510-740-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "TADESSE",
        "authorized_official_first_name": "GIRMA",
        "authorized_official_middle_name": "DEJENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-672-2069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "200640009614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; 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.