Blue Angels Trans LLC

Primary specialty

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

Legal business name

BLUE ANGELS TRANS LLC

Practice address

11082 Coloma Rd. Suite #10
Rancho Cordova, CA 95670

Phone

(916) 717-6218

NPI assigned

May 26, 2020

Organization subpart

Yes

Parent organization

BLUE ANGELS TRANS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Vardan Minasyan

Title

Owner

Phone

(919) 717-6218

Specialties & licenses 1

Addresses

Part of

Blue Angels Trans LLC

Locations

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1689297640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 SPANNA CT/",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-717-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 COLOMA RD. SUITE #10",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-717-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGELS TRANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE ANGELS TRANS LLC",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "MINASYAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-717-6218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Biskner
• Leziya Blackledge
• Cory Ryan Blakeslee
• Chelsea Jo Blevins
• Mary Bloomer, RN, CNOR, CNIM
• Joelle Viviane Bobrowsky
• Deirdre Bodenhamer, PA-C
• Grant Edwin Boice, DDS
• Julie Ann Boizot
• Dennis Bok

• Non-emergency Medical Transport (VAN) in Rancho Cordova, CA
• Providers in Rancho Cordova, 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 26, 2020; 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.