Organization Active NPI

Non Emergency Transportation

  • Non-emergency Medical Transport (VAN)
  • Fountain Valley, CA
National Provider Identifier
1487996609
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
NON EMERGENCY TRANSPORTATION
Practice address
17151 Newhope St
Suite #212
Fountain Valley, CA 92708-4226
Phone
(672) 210-4426
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Richard Gagnon
Title
Vice President Partner
Phone
(949) 412-0792

Specialties & licenses 1

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

Addresses

Primary practice location

17151 Newhope St
Suite #212
Fountain Valley, CA 92708-4226

Mailing address

PO Box 7673
Huntington Beach, CA 92615-7673

Other identifiers 1

IdentifierTypeStateIssuer
APPLYING FOROtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

17151 Newhope St
Ste 212
Fountain Valley, CA 92708
Phone (672) 210-4426

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1487996609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7673",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926157673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17151 NEWHOPE ST",
            "address_2": "SUITE #212",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084226",
            "telephone_number": "672-210-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON EMERGENCY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT PARTNER",
        "authorized_official_telephone_number": "949-412-0792"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "APPLYING FOR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.