Organization Active NPI

Black Tiger Limo, Inc.

Doing business as Black Tiger Transportation

  • Non-emergency Medical Transport (VAN)
  • Spring Valley, CA
National Provider Identifier
1669842985
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
N818 Issued in CA
Legal business name
BLACK TIGER LIMO, INC.
Doing business as
Black Tiger Transportation
Practice address
9090 Birch St
Spring Valley, CA 91977-4107
Phone
(619) 457-0577
NPI assigned
Sep 29, 2015
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Brandon Zora
Title
Ceo
Phone
(619) 457-0577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X N818 CA Primary

Addresses

Primary practice location

9090 Birch St
Spring Valley, CA 91977-4107

Mailing address

9090 Birch St
Spring Valley, CA 91977-4107

Other names 1

  • Black Tiger Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

9090 Birch St
Spring Valley, CA 91977
Phone (619) 457-0577

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1669842985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 BIRCH ST",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919774107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 BIRCH ST",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919774107",
            "telephone_number": "619-457-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK TIGER LIMO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ZORA",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-457-0577"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "N818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Tiger Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Black Tiger Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.