1800Medivan, Inc

Primary specialty

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

Legal business name

1800MEDIVAN, INC

Practice address

15159 Palmdale Rd
Victorville, CA 92392-2547

Phone

(747) 200-0001

NPI assigned

Oct 15, 2020

Last updated

Feb 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yuri Hambardzumyan

Title

Owner

Phone

(747) 200-0001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1659979292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10848",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912093848",
            "telephone_number": "747-200-0001"
        },
        {
            "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": "747-200-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1800MEDIVAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "HAMBARDZUMYAN",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-200-0001"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Victorville, CA
• Providers in Victorville, 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 Feb 22, 2022; 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.