Organization Active NPI

Mobilitycare Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Anaheim, CA
National Provider Identifier
1669263406
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MOBILITYCARE TRANSPORTATION LLC
Practice address
241 N Coffman St
Anaheim, CA 92805-7100
Phone
(562) 419-4711
Fax
(424) 675-4955
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Edison Rebudal Rafanan, OWNER
Title
Ceo
Phone
(562) 419-4711

Specialties & licenses 1

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

Addresses

Primary practice location

241 N Coffman St
Anaheim, CA 92805-7100

Mailing address

12816 Inglewood Ave # 620
Hawthorne, CA 90250-5118
Phone (562) 419-4711

Other names 1

  • MobilityCare Transportation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1669263406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816 INGLEWOOD AVE # 620",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505118",
            "telephone_number": "562-419-4711",
            "fax_number": "424-675-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N COFFMAN ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928057100",
            "telephone_number": "562-419-4711",
            "fax_number": "424-675-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITYCARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "RAFANAN",
        "authorized_official_first_name": "EDISON",
        "authorized_official_middle_name": "REBUDAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-419-4711",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MobilityCare Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.