Nico Care Medical Transport, LLC

Primary specialty

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

Legal business name

NICO CARE MEDICAL TRANSPORT, LLC

Practice address

1311 Canterbury
Hercules, CA 94547-3622

Phone

(415) 305-1196

Fax

(888) 828-8718

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John Paul Vaal

Title

Principal Owner

Phone

(415) 305-1196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1487129896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 CANTERBURY",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473622",
            "telephone_number": "415-305-1196",
            "fax_number": "888-828-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 CANTERBURY",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473622",
            "telephone_number": "415-305-1196",
            "fax_number": "888-828-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICO CARE MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "VAAL",
        "authorized_official_first_name": "JOHN PAUL",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "415-305-1196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Nelson, MS PPS
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• Non-emergency Medical Transport (VAN) in Hercules, CA
• Providers in Hercules, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.