Organization Active NPI

Community Med Trans, Inc

  • Non-emergency Medical Transport (VAN)
  • Fresno, CA
National Provider Identifier
1609419258
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COMMUNITY MED TRANS, INC
Practice address
4220 N College Ave Apt a
Fresno, CA 93704-3863
Phone
(559) 612-0220
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Mr. Yenesaw Wasihun Negatu
Title
Ceo
Phone
(559) 612-0220

Specialties & licenses 1

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

Addresses

Primary practice location

4220 N College Ave Apt a
Fresno, CA 93704-3863

Mailing address

4220 N College Ave Apt a
Fresno, CA 93704-3863
Phone (559) 612-0220

Other identifiers 1

IdentifierTypeStateIssuer
34390000XMedicaidCA

Other names 1

  • Community Medical Transportation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL community.medicaltransport@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1609419258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N COLLEGE AVE APT A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937043863",
            "telephone_number": "559-612-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N COLLEGE AVE APT A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937043863",
            "telephone_number": "559-612-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MED TRANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "NEGATU",
        "authorized_official_first_name": "YENESAW",
        "authorized_official_middle_name": "WASIHUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-612-0220",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "34390000X",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "community.medicaltransport@gmail.com",
            "affiliation": "N",
            "address_1": "4220 N College Ave Apt A",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937043863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 25, 2019; 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.