Organization Active NPI

Magtrans, Inc

  • Non-emergency Medical Transport (VAN)
  • Los Angeles, CA
National Provider Identifier
1568544534
Registry record updated Feb 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN01156F Issued in CA
Legal business name
MAGTRANS, INC
Practice address
2065 Venice Blvd
Los Angeles, CA 90006-5222
Phone
(323) 851-9100
Fax
(323) 766-0900
NPI assigned
Oct 19, 2006
Last updated
Feb 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2011

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

Authorized official

Name
Bridgette Povolotsky
Title
President
Phone
(323) 851-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN01156F CA Primary

Addresses

Primary practice location

2065 Venice Blvd
Los Angeles, CA 90006-5222

Mailing address

2065 Venice Blvd
Los Angeles, CA 90006-5222
Phone (323) 851-9100

Other identifiers 1

IdentifierTypeStateIssuer
MTN01156FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296864000000",
    "number": "1568544534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065222",
            "telephone_number": "323-851-9100",
            "fax_number": "323-766-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065222",
            "telephone_number": "323-851-9100",
            "fax_number": "323-766-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGTRANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-02-05",
        "status": "A",
        "authorized_official_last_name": "POVOLOTSKY",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-851-9100"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01156F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01156F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.