NPIMap

Organization Active NPI

Blue Med-Ride Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Glendale, CA
National Provider Identifier
1477090934
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLUE MED-RIDE MEDICAL TRANSPORTATION
Practice address
1153 N Brand Blvd Ste 103
Glendale, CA 91202-2503
Phone
(818) 242-3644
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Gegam Daniel BejanianNPI 1053650440
Title
Owner
Phone
(818) 242-3644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1153 N Brand Blvd Ste 103
Glendale, CA 91202-2503

Mailing address

1153 N Brand Blvd Ste 103
Glendale, CA 91202-2503
Phone (818) 242-3644

Other practice location 1

121 W Lexington Dr # L200
Glendale, CA 91203
Phone (818) 480-6512

Other names 1

  • Blue Med-Ride Medical Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

1153 N Brand Blvd
Ste 103
Glendale, CA 91202
Phone (818) 242-3644

121 W Lexington Dr
#L200
Glendale, CA 91203
Phone (818) 480-6512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1477090934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 N BRAND BLVD STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022503",
            "telephone_number": "818-242-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 N BRAND BLVD STE 103",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022503",
            "telephone_number": "818-242-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 W Lexington Dr # L200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "91203",
            "country_code": "US",
            "telephone_number": "818-480-6512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE MED-RIDE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2020-12-15",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "BEJANIAN",
        "authorized_official_first_name": "GEGAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-242-3644"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Med-Ride Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.