Omoba Corporation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

OMOBA CORPORATION

Doing business as

Divine Transportation Services

Practice address

285 S Gilbert St
Fullerton, CA 92833-2908

Phone

(714) 225-4762

Fax

(714) 930-9435

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Omololu Allison

Title

President

Phone

(715) 225-4762

Specialties & licenses 1

Addresses

Other names 1

• Divine Transportation Services Doing business as

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1679865208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S GILBERT ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332908",
            "telephone_number": "714-225-4762",
            "fax_number": "714-930-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S GILBERT ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332908",
            "telephone_number": "714-225-4762",
            "fax_number": "714-930-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMOBA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "OMOLOLU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-225-4762"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Transportation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.