Active NPI
Omb Non-Emergency Medical Transport
- Non-emergency Medical Transport (VAN)
- Elk Grove, CA
National Provider Identifier
1710634902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- OMB NON-EMERGENCY MEDICAL TRANSPORT
- Practice address
- 9381 E Stockton Blvd Ste 214
Elk Grove, CA 95624-5070 - Phone
- (916) 698-0330
- NPI assigned
- Mar 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Eugene Bailey Sr.
- Title
- Manager
- Phone
- (916) 519-3865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
9381 E Stockton Blvd Ste 214
Elk Grove, CA 95624-5070
Mailing address
9381 E Stockton Blvd Ste 214
Elk Grove, CA 95624-5070
Phone (916) 698-0330
National Provider Directory
National Provider DirectoryLocations
9381 E Stockton Blvd
Ste 214
Elk Grove, CA 95624
Phone (916) 698-0330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646611200000",
"number": "1710634902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9381 E STOCKTON BLVD STE 214",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956245070",
"telephone_number": "916-698-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9381 E STOCKTON BLVD STE 214",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956245070",
"telephone_number": "916-698-0330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMB NON-EMERGENCY MEDICAL TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "916-519-3865",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.