Active NPI
Rajendra Kumar, CEO
- Non-emergency Medical Transport (VAN)
- Stockton, CA
National Provider Identifier
1679007934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- MTN01207F
- Practice address
- 7 W Acacia St
Ste.3B
Stockton, CA 95202-1243 - Phone
- (209) 983-1681
- Fax
- (209) 983-0428
- NPI assigned
- Apr 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | MTN01207F | CA | Primary |
Addresses
Primary practice location
7 W Acacia St
Ste.3B
Stockton, CA 95202-1243
Mailing address
639 Riley Ford LN
Stockton, CA 95206-6289
Phone (209) 983-1681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861579674 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTN01207F | CA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajs Transport | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulance
- Stockton, CA
- NPI 1861579674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1679007934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 RILEY FORD LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952066289",
"telephone_number": "209-983-1681",
"fax_number": "209-983-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 W ACACIA ST",
"address_2": "STE.3B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021243",
"telephone_number": "209-983-1681",
"fax_number": "209-983-0428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "RAJENDRA",
"credential": "CEO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-13",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "MTN01207F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861579674",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.