NPIMap

Organization Active NPI

Medicare Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Montebello, CA
National Provider Identifier
1669808655
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
40245M1 Issued in CA
Legal business name
MEDICARE TRANSPORTATION LLC
Practice address
1004 N Iguala St
Montebello, CA 90640-2575
Phone
(213) 365-9530
Fax
(323) 726-6292
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mrs. Grace Min Rhee
Title
Manager
Phone
(213) 365-9530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 40245M1 CA Primary

Addresses

Primary practice location

1004 N Iguala St
Montebello, CA 90640-2575

Mailing address

1004 N Iguala St
Montebello, CA 90640-2575
Phone (213) 365-9530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1669808655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N IGUALA ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402575",
            "telephone_number": "213-365-9530",
            "fax_number": "323-726-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N IGUALA ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906402575",
            "telephone_number": "213-365-9530",
            "fax_number": "323-726-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-365-9530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "40245M1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.