Vital Nemt LLC

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

VITAL NEMT LLC

Practice address

2855 Sepulveda Ave
San Bernardino, CA 92404-3628

Phone

(909) 601-8270

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Raymundo BaroNPI 1891496717

Title

Employee

Phone

(909) 917-0507

Specialties & licenses 1

Addresses

Practitioners 1

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

• Raymundo Baro

  • Driver
  • San Bernardino, CA
  • NPI 1891496717
  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1497526180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 SEPULVEDA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 SEPULVEDA AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043628",
            "telephone_number": "909-601-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL NEMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BARO",
        "authorized_official_first_name": "RAYMUNDO",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "909-917-0507"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Bernardino, CA
• Driver in California

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