Individual provider Active NPI

Alexander Ifenliochukwu Umegboh, CEO

  • Non-emergency Medical Transport (VAN)
  • Oakland, CA
National Provider Identifier
1518148261
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
28026610 Issued in CA
Practice address
4173 Macarthur Blvd
Suite 11
Oakland, CA 94619-1932
Phone
(510) 488-1184
Fax
(510) 575-6879
NPI assigned
Nov 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 28026610 CA Primary

Addresses

Primary practice location

4173 Macarthur Blvd
Suite 11
Oakland, CA 94619-1932

Mailing address

4173 Macarthur Blvd
Suite 11
Oakland, CA 94619-1932
Phone (510) 488-1184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28026610CAMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Friendly Transportation Non-Emergency Medical Transport (Van) Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1518148261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4173 MACARTHUR BLVD",
            "address_2": "SUITE 11",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191932",
            "telephone_number": "510-488-1184",
            "fax_number": "510-575-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4173 MACARTHUR BLVD",
            "address_2": "SUITE 11",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191932",
            "telephone_number": "510-488-1184",
            "fax_number": "510-575-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEGBOH",
        "first_name": "ALEXANDER",
        "middle_name": "IFENLIOCHUKWU",
        "name_prefix": "Mr.",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "28026610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.