Organization Active NPI

Moonlight Medical Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Fresno, CA
National Provider Identifier
1558644450
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
201113610136 Issued in CA
Legal business name
MOONLIGHT MEDICAL TRANSPORTATION SERVICES
Practice address
7625 N 1St St
#162
Fresno, CA 93720-0903
Phone
(559) 779-0475
Fax
(559) 227-6405
NPI assigned
Sep 27, 2011
Last updated
Sep 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Sunil Kumar Drigpal
Title
Co-Owner
Phone
(559) 779-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 201113610136 CA Primary

Addresses

Primary practice location

7625 N 1St St
#162
Fresno, CA 93720-0903

Mailing address

PO Box 3543
Fresno, CA 93650-3543
Phone (559) 779-0475

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1558644450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3543",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "936503543",
            "telephone_number": "559-779-0475",
            "fax_number": "559-227-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 N 1ST ST",
            "address_2": "#162",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200903",
            "telephone_number": "559-779-0475",
            "fax_number": "559-227-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT MEDICAL TRANSPORTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "DRIGPAL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "559-779-0475"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "201113610136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.