Active NPI
365 Medical Transport
- Non-emergency Medical Transport (VAN)
- Fresno, CA
National Provider Identifier
1508501701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- 365 MEDICAL TRANSPORT
- Doing business as
- 365 Medical Transport
- Practice address
- 1300 E Shaw Ave Ste 149
Fresno, CA 93710-7903 - Phone
- (833) 365-8726
- NPI assigned
- May 2, 2022
- Last updated
- May 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vernice Nellon, PHD
- Title
- Managing Partner
- Phone
- (833) 365-8726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1300 E Shaw Ave Ste 149
Fresno, CA 93710-7903
Mailing address
802 S Cypress Ave
Fresno, CA 93727-5866
Phone (833) 365-8726
Other names 1
- 365 Medical Transport
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651449600000",
"number": "1508501701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 S CYPRESS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937275866",
"telephone_number": "833-365-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E SHAW AVE STE 149",
"city": "FRESNO",
"state": "CA",
"postal_code": "937107903",
"telephone_number": "833-365-8726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "365 MEDICAL TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A",
"authorized_official_last_name": "NELLON",
"authorized_official_first_name": "VERNICE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "833-365-8726",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "365 Medical Transport",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.