Organization Active NPI

Ventura County Non-Emergency Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Ventura, CA
National Provider Identifier
1629134051
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0810910 Issued in CA
Legal business name
VENTURA COUNTY NON-EMERGENCY MEDICAL TRANSPORTATION
Practice address
4221 E Main St
Suite C
Ventura, CA 93003-8285
Phone
(805) 650-1070
Fax
(805) 650-1191
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Andrew Shagal
Title
Administrator
Phone
(818) 231-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0810910 CA Primary

Addresses

Primary practice location

4221 E Main St
Suite C
Ventura, CA 93003-8285

Mailing address

4221 E Main St
Suite C
Ventura, CA 93003-8285
Phone (805) 650-1070

Other identifiers 1

IdentifierTypeStateIssuer
MTN01216FMedicaidCA

National Provider Directory

National Provider Directory

Locations

4221 E Main St
Ste C
Ventura, CA 93003
Phone (805) 650-1070

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629134051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 E MAIN ST",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038285",
            "telephone_number": "805-650-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 E MAIN ST",
            "address_2": "SUITE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038285",
            "telephone_number": "805-650-1070",
            "fax_number": "805-650-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA COUNTY NON-EMERGENCY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAGAL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-231-3995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "0810910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01216F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • 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.