Individual provider Active NPI

Sami A Fadlelmula, TRANSPORTAITION

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1629257563
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
115387 Issued in AZ
Practice address
4201 W Surrey Ave
Phoenix, AZ 85029-1974
Phone
(602) 435-4443
Fax
(602) 439-2268
NPI assigned
Oct 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 115387 AZ Primary

Addresses

Primary practice location

4201 W Surrey Ave
Phoenix, AZ 85029-1974

Mailing address

4201 W Surrey Ave
Phoenix, AZ 85029-1974
Phone (602) 435-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115387AZMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1629257563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W SURREY AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291974",
            "telephone_number": "602-435-4443",
            "fax_number": "602-439-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W SURREY AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291974",
            "telephone_number": "602-435-4443",
            "fax_number": "602-439-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADLELMULA",
        "first_name": "SAMI",
        "middle_name": "A",
        "credential": "TRANSPORTAITION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "115387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; 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.