Archer Medtrans LLC

Primary specialty

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

Legal business name

ARCHER MEDTRANS LLC

Practice address

1607 E Palmdale Blvd Ste D
Palmdale, CA 93550-4880

Phone

(661) 441-0131

NPI assigned

Aug 11, 2021

Last updated

Aug 11, 2021By 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

Jacob Ryan Archer, EMTNPI 1285218669

Title

President & Ceo

Phone

(661) 441-0131

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Ryan Archer, EMT

  • Basic Emergency Medical Technician
  • Palmdale, CA
  • NPI 1285218669
  NPD Authorized official

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1750056883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504880",
            "telephone_number": "661-441-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504880",
            "telephone_number": "661-441-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER MEDTRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "661-441-0131",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TripMaster",
            "affiliation": "N",
            "endpointDescription": "Dispatch Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1607 E Palmdale Blvd Ste D",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935504880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maral Arakelian, MA
• Jennifer Aranda
• Rofel Araula
• Vasuki Aravagiri
• Adrienne Arca
• Jacob Ryan Archer, EMT
• Kyrah Archibald Williams
• Oscar Arcia, MD
• Armand Ardestani, DO
• Areliant Care Services

• Non-emergency Medical Transport (VAN) in Palmdale, CA
• Providers in Palmdale, 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 Aug 11, 2021; 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.