NPIMap

Organization Active NPI

MKM Logistics

  • Non-emergency Medical Transport (VAN)
  • La Verne, CA
National Provider Identifier
1629518162
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MKM LOGISTICS
Practice address
1502 Foothill Blvd Ste 103
La Verne, CA 91750-3439
Phone
(909) 275-5764
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Julian McFaddenNPI 1376089144
Title
Owner
Phone
(909) 275-5764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1502 Foothill Blvd Ste 103
La Verne, CA 91750-3439

Mailing address

1502 Foothill Blvd Ste 103
La Verne, CA 91750-3439

National Provider Directory

National Provider Directory

Locations

1502 Foothill Blvd
Ste 103
La Verne, CA 91750
Phone (909) 275-5764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1629518162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 FOOTHILL BLVD STE 103",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 FOOTHILL BLVD STE 103",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503439",
            "telephone_number": "909-275-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKM LOGISTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-275-5764"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.