Organization Active NPI

Trillium Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Fortuna, CA
National Provider Identifier
1497514178
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRILLIUM TRANSPORTATION LLC
Practice address
2698 School St
Fortuna, CA 95540-3552
Phone
(707) 616-7268
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Melissa Keryn Marinez
Title
Ceo
Phone
(707) 616-7268

Specialties & licenses 1

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

Addresses

Primary practice location

2698 School St
Fortuna, CA 95540-3552

Mailing address

2698 School St
Fortuna, CA 95540-3552
Phone (707) 616-7268

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1497514178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 SCHOOL ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403552",
            "telephone_number": "707-616-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 SCHOOL ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955403552",
            "telephone_number": "707-616-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "MARINEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KERYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-616-7268"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.