Mid-Cities Medical Transport

Primary specialty

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

Legal business name

MID-CITIES MEDICAL TRANSPORT

Practice address

1325 N Red Gum St
# 14
Anaheim, CA 92806-1326

Phone

(714) 238-9005

Fax

(714) 238-9085

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Conrado Villasenor ManimboNPI 1124305255

Title

Operation Manager

Phone

(714) 238-9005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• C.V. Manimbo Enterprises Inc. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Conrado Villasenor Manimbo

  • Non-emergency Medical Transport (VAN)
  • Anaheim, CA
  • NPI 1124305255
  NPD (past) Authorized official

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1700136405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N. RED GUM ST.",
            "address_2": "# 14",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061387",
            "telephone_number": "714-238-9005",
            "fax_number": "714-238-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N RED GUM ST",
            "address_2": "# 14",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061326",
            "telephone_number": "714-238-9005",
            "fax_number": "714-238-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITIES MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MANIMBO",
        "authorized_official_first_name": "CONRADO",
        "authorized_official_middle_name": "VILLASENOR",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "714-238-9005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01213F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.V. Manimbo Enterprises Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael K. Le, DDS, Inc
• Michael P Blum DDS a Professional Corporation
• Michael Poblete Optometric Corporation
• Amanda Mae Michael, M.D.
• Lee Michaels, CRNA
• Ann S. Mighell, MD
• Miguel Aramburu, DDS. Inc.
• Mike M Kang Dental Corp
• Marion Ann Mike-Coury, MS, CCC-SLP
• Andrew M Mikhail, RPH

• Non-emergency Medical Transport (VAN) in Anaheim, CA
• Providers in Anaheim, 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 Sep 11, 2012; 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.