Organization Active NPI

KG Nemt LLC

  • Non-emergency Medical Transport (VAN)
  • Winchester, CA
National Provider Identifier
1497447882
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KG NEMT LLC
Practice address
29720 Bison Rd
Winchester, CA 92596-3511
Phone
(703) 678-8405
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Kokoe Amele Galli
Title
Administrator
Phone
(703) 678-8405

Specialties & licenses 1

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

Addresses

Primary practice location

29720 Bison Rd
Winchester, CA 92596-3511

Mailing address

29720 Bison Rd
Winchester, CA 92596-3511
Phone (703) 678-8405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1497447882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29720 BISON RD",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925963511",
            "telephone_number": "703-678-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29720 BISON RD",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925963511",
            "telephone_number": "703-678-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG NEMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "GALLI",
        "authorized_official_first_name": "KOKOE AMELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-678-8405"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.