Organization Active NPI

1800Medivan Or, Inc.

  • Non-emergency Medical Transport (VAN)
  • Victorville, CA
National Provider Identifier
1639013998
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
1800MEDIVAN OR, INC.
Practice address
15159 Palmdale Rd
Victorville, CA 92392-2547
Phone
(800) 633-4826
Fax
(760) 951-1922
NPI assigned
Apr 16, 2026
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Yuri Hambardzumyan
Title
President
Phone
(800) 633-4826

Specialties & licenses 1

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

Addresses

Primary practice location

15159 Palmdale Rd
Victorville, CA 92392-2547

Mailing address

581 Lancaster Dr SE Ste 382
Salem, OR 97317-5642
Phone (800) 633-4826

National Provider Directory

National Provider Directory

Locations

15159 Palmdale Rd
Victorville, CA 92392
Phone (747) 200-0001

581 Lancaster Dr SE
Salem, OR 97317

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1639013998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 LANCASTER DR SE STE 382",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175642",
            "telephone_number": "800-633-4826",
            "fax_number": "760-951-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15159 PALMDALE RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922547",
            "telephone_number": "800-633-4826",
            "fax_number": "760-951-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1800MEDIVAN OR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "HAMBARDZUMYAN",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-633-4826"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.