Organization Active NPI

Immaculate Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Moreno Valley, CA
National Provider Identifier
1497633887
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
IMMACULATE MEDICAL TRANSPORTATION LLC
Practice address
16579 Sir Barton Way
Moreno Valley, CA 92551-2535
Phone
(714) 414-8460
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Mrs. Jade A Inguito
Title
Owner
Phone
(714) 414-8460

Specialties & licenses 1

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

Addresses

Primary practice location

16579 Sir Barton Way
Moreno Valley, CA 92551-2535

Mailing address

16579 Sir Barton Way
Moreno Valley, CA 92551-2535
Phone (714) 414-8460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1497633887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16579 SIR BARTON WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925512535",
            "telephone_number": "714-414-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16579 SIR BARTON WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925512535",
            "telephone_number": "714-414-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A",
        "authorized_official_last_name": "INGUITO",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-414-8460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.