Active NPI
Community Med Trans, Inc
- Non-emergency Medical Transport (VAN)
- Fresno, CA
National Provider Identifier
1609419258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34390000X | Medicaid | CA |
Other names 1
- Community Medical Transportation
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | community.medicaltransport@gmail.com |
National Provider Directory
National Provider DirectoryNPI 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
- Community Health Partners
- Community Health Partners
- Community Hospitalist Medical Group
- Community Hospitalist Medical Group Inc.
- Community Living Center - Fresno
- Community Medical Arts Pharmacy, Inc
- Community Medical Providers Medical Group Inc
- Community Medical Providers Medical Group Inc
- Community Neurology & Pulmonary Medical Group Inc
- Community Oncology Associates Medical Group, Inc.
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.