Medivan

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

99063412 Issued in CA

Legal business name

MEDIVAN

Practice address

13800 Parkcenter Lane
Tustin, CA 92782

Phone

(714) 418-8948

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Nader S Furrha

Title

Owner

Phone

(714) 418-8949

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1639506405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 PARKCENTER LANE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92782",
            "telephone_number": "714-418-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 PARKCENTER LANE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92782",
            "telephone_number": "714-418-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "FURRHA",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-418-8949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "99063412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Exam Assoicates
• Adaligza Medina, LCSW
• Joshua Medina
• Nicole G. Medina
• Meditech Solutions
• Medland Medical Inc.
• Abigail Medrano Duarte
• Megan Plakos Szabo LMFT, a Marriage and Family Therapy Corporation
• Angelina Mehta, N.D.
• Chetan Kumar Mehta, D.M.D., M.S.D.

• Non-emergency Medical Transport (VAN) in Tustin, CA
• Providers in Tustin, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.