Boomers Medical Transportation, Inc.

Primary specialty

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

Legal business name

BOOMERS MEDICAL TRANSPORTATION, INC.

Practice address

165 Oddstad Dr Apt 68
Vallejo, CA 94589-3425

Phone

(415) 748-8882

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Kaisar Mohammed AlhakimNPI 1740757053

Title

Ceo

Phone

(415) 748-8882

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kaisar Mohammed Alhakim

  • Non-emergency Medical Transport (VAN)
  • Vallejo, CA
  • NPI 1740757053
  NPD Authorized official

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1700566262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 ODDSTAD DR APT 68",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945893425",
            "telephone_number": "415-748-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ODDSTAD DR APT 68",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945893425",
            "telephone_number": "415-748-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMERS MEDICAL TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "ALHAKIM",
        "authorized_official_first_name": "KAISAR",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-748-8882"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Bongiovanni, OTR
• Vivian Castillo Bonifacio, D.D.S.
• Galadriel Ann Bonnel, RN, MSN, FNP
• Evelyne Yuvette Bonton Kelly
• Latisha Booker
• Editha Legaspi Boongaling, DMD
• Peter P. Boorstein, MD
• Madhusudan Borde, MD
• Maria S Borres, FNP
• Breonna Bouie

• Non-emergency Medical Transport (VAN) in Vallejo, CA
• Providers in Vallejo, 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 Jul 20, 2023; 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.