Organization Active NPI

Eagle Medical Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Fresno, CA
National Provider Identifier
1578027520
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EAGLE MEDICAL TRANSPORTATION INC
Practice address
6148 W Paul Ave
Fresno, CA 93722-8527
Phone
(559) 712-1885
Fax
(559) 421-0383
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Armine Gdlian
Title
President
Phone
(559) 579-1303

Specialties & licenses 1

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

Addresses

Primary practice location

6148 W Paul Ave
Fresno, CA 93722-8527

Mailing address

6148 W Paul Ave
Fresno, CA 93722-8527
Phone (559) 712-1885

Other identifiers 1

IdentifierTypeStateIssuer
D2736906MedicaidCA

National Provider Directory

National Provider Directory

Locations

4733 W Spruce Ave
Fresno, CA 93722

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1578027520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 W PAUL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228527",
            "telephone_number": "559-712-1885",
            "fax_number": "559-421-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 W PAUL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228527",
            "telephone_number": "559-712-1885",
            "fax_number": "559-421-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "GDLIAN",
        "authorized_official_first_name": "ARMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-579-1303"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D2736906",
            "state": "CA"
        }
    ],
    "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 Jun 26, 2023; 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.