NPIMap

Organization Active NPI

Grand Care Medical Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Glendale, CA
National Provider Identifier
1720680341
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GRAND CARE MEDICAL TRANSPORTATION INC
Practice address
1323 E Broadway Apt 212
Glendale, CA 91205-4020
Phone
(818) 434-0122
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Gagik IgnatenkoNPI 1396323945
Title
Ceo
Phone
(818) 818-4697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1323 E Broadway Apt 212
Glendale, CA 91205-4020

Mailing address

415 E Harvard St
Suite 203 a
Glendale, CA 91205
Phone (818) 434-0122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1720680341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARVARD ST",
            "address_2": "SUITE 203 A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-434-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 E BROADWAY APT 212",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054020",
            "telephone_number": "818-434-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CARE MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "IGNATENKO",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-818-4697"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.