NPIMap

Organization Active NPI

Excllent Service Medi Transportation Company

  • Non-emergency Medical Transport (VAN)
  • Sacramento, CA
National Provider Identifier
1508164831
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
56VN784 Issued in CA
Legal business name
EXCLLENT SERVICE MEDI TRANSPORTATION COMPANY
Practice address
8177 Mills Gap Way
Sacramento, CA 95828-4436
Phone
(916) 821-3289
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mr. Robert Orlando Jackson
Title
Owner
Phone
(916) 821-3289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 56VN784 CA Primary

Addresses

Primary practice location

8177 Mills Gap Way
Sacramento, CA 95828-4436

Mailing address

8177 Mills Gap Way
Sacramento, CA 95828-4436
Phone (916) 821-3289

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1508164831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8177 MILLS GAP WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958284436",
            "telephone_number": "916-821-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8177 MILLS GAP WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958284436",
            "telephone_number": "916-821-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLLENT SERVICE MEDI TRANSPORTATION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-821-3289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "56VN784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.