Organization Active NPI

Charis Transportation

  • Non-emergency Medical Transport (VAN)
  • Vallejo, CA
National Provider Identifier
1598047144
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
12-00011544 Issued in CA
Legal business name
CHARIS TRANSPORTATION
Practice address
802 Daniels Ave
Vallejo, CA 94590-3013
Phone
(707) 552-4567
Fax
(707) 642-4775
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Rafael R Bernardino
Title
President
Phone
(707) 552-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 12-00011544 CA Primary

Addresses

Primary practice location

802 Daniels Ave
Vallejo, CA 94590-3013

Mailing address

802 Daniels Ave
Vallejo, CA 94590-3013
Phone (707) 552-4567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1598047144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 DANIELS AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903013",
            "telephone_number": "707-552-4567",
            "fax_number": "707-642-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 DANIELS AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903013",
            "telephone_number": "707-552-4567",
            "fax_number": "707-642-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "BERNARDINO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-552-4567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "12-00011544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.