Mediserve Transportation Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MEDISERVE TRANSPORTATION INC

Practice address

6739 S Victoria Ave
Los Angeles, CA 90043-4617

Phone

(323) 778-1219

Fax

(323) 866-0808

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Shervin Mahmoudian

Title

Chief Executive

Phone

(323) 778-1219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MedExpress Services Doing business as

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598830747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 S VICTORIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434617",
            "telephone_number": "323-778-1219",
            "fax_number": "323-866-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 S VICTORIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434617",
            "telephone_number": "323-778-1219",
            "fax_number": "323-866-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERVE TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHMOUDIAN",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "323-778-1219"
    },
    "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": "MTN00686G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zelina Medina
• Nicole Anne Medine
• Medinfoed.Com LLC
• Medipro Inc.
• Mediq Hospice and Palliative Care
• Medishack, Inc.
• Medity Health LLC
• Medivance Equipment LLC
• Medivaultz, LLC.
• Medline Diagnostic Center, Inc

• Non-emergency Medical Transport (VAN) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.