Angel Medical Trans LLC

Primary specialty

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

License

396377 Issued in AZ

Legal business name

ANGEL MEDICAL TRANS LLC

Practice address

1415 E Apache Blvd Apt 203
Tempe, AZ 85281-5937

Phone

(602) 754-9317

Fax

(602) 595-0702

NPI assigned

Jul 22, 2009

Last updated

Feb 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abdalla Mohamed Yahya

Title

Owner

Phone

(602) 754-9317

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1699905786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97523",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850607523",
            "telephone_number": "602-754-9317",
            "fax_number": "602-595-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E APACHE BLVD APT 203",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815937",
            "telephone_number": "602-754-9317",
            "fax_number": "602-595-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL MEDICAL TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "YAHYA",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-754-9317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "396377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON EMERGENCY MEDICAL TRANSPORTATION",
            "identifier": "396377",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.