Active NPI
Lifeline Mobility Transportation LLC
- Non-emergency Medical Transport (VAN)
- San Leandro, CA
National Provider Identifier
1740100130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- LIFELINE MOBILITY TRANSPORTATION LLC
- Practice address
- 13730 E 14TH St Apt B317
San Leandro, CA 94578-2577 - Phone
- (773) 627-7727
- NPI assigned
- Jul 16, 2026
- 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
- Vicent Kyambadde
- Title
- Ceo
- Phone
- (773) 627-7727
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Taxi | 344600000X |
Addresses
Primary practice location
13730 E 14TH St Apt B317
San Leandro, CA 94578-2577
Mailing address
13730 E 14TH St Apt B317
San Leandro, CA 94578-2577
Phone (773) 627-7727
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784160000000",
"number": "1740100130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13730 E 14TH ST APT B317",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782577",
"telephone_number": "773-627-7727",
"fax_number": "773-627-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13730 E 14TH ST APT B317",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782577",
"telephone_number": "773-627-7727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE MOBILITY TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-16",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A",
"authorized_official_last_name": "KYAMBADDE",
"authorized_official_first_name": "VICENT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-627-7727"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.