Omega Medical Non Emergency Transport Inc.

Primary specialty

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

License

7EAN709 Issued in CA

Legal business name

OMEGA MEDICAL NON EMERGENCY TRANSPORT INC.

Practice address

12458 Cricket LN
Victorville, CA 92392

Phone

(760) 881-7970

Fax

(760) 244-1849

NPI assigned

Jun 8, 2015

Last updated

Jun 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aregay Werabo, TRANSPORT SERVICE

Title

Manager

Phone

(760) 881-7970

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1740660471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12458 CRICKET LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "760-881-7970",
            "fax_number": "760-244-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12458 CRICKET LN",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "760-881-7970",
            "fax_number": "760-244-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA MEDICAL NON EMERGENCY TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "WERABO",
        "authorized_official_first_name": "AREGAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-881-7970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TRANSPORT SERVICE"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "7EAN709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV",
            "identifier": "F4307308",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Victorville, CA
• Providers in Victorville, 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 Jun 8, 2015; 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.