Organization Active NPI

Wild Paw LLC

  • Non-emergency Medical Transport (VAN)
  • Valencia, CA
National Provider Identifier
1750006946
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WILD PAW LLC
Practice address
25201 Avenue Tibbitts Ste 103
Valencia, CA 91355-3433
Phone
(747) 755-2022
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Authorized official

Name
Sarkis Aleksanyan
Title
Cfo
Phone
(818) 935-4142

Specialties & licenses 1

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

Addresses

Primary practice location

25201 Avenue Tibbitts Ste 103
Valencia, CA 91355-3433

Mailing address

25201 Avenue Tibbitts Ste 103
Valencia, CA 91355-3433

Other names 1

  • coach transportation Doing business as

National Provider Directory

National Provider Directory

Locations

25201 Avenue Tibbitts
Ste 103
Valencia, CA 91355
Phone (747) 755-2022

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1750006946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 AVENUE TIBBITTS STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 AVENUE TIBBITTS STE 103",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553433",
            "telephone_number": "747-755-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD PAW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "ALEKSANYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-935-4142"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "coach transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "coach transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.