Active NPI
Mobilitycare Transportation LLC
- Non-emergency Medical Transport (VAN)
- Anaheim, CA
National Provider Identifier
1669263406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.