Protransport 1

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1830 Issued in CA

Legal business name

PROTRANSPORT 1

Practice address

6040 Commerce Blvd Ste 111
Rohnert Park, CA 94928-2181

Phone

(707) 665-4289

Fax

(707) 703-4619

NPI assigned

Dec 8, 2005

Last updated

Sep 19, 2024By 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

Justin Meiser

Title

Chief Financial Officer

Phone

(330) 217-2652

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• New York University

  dba NYU Internal Medicine Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1982883187

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1750366068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-2208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911102208",
            "telephone_number": "707-665-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 COMMERCE BLVD STE 111",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282181",
            "telephone_number": "707-665-4289",
            "fax_number": "707-703-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTRANSPORT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "MEISER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-217-2652"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTN",
            "identifier": "ZZZ22445Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "292158",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01132F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS US DEPT. OF LABOR",
            "identifier": "352176400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05021Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ermal Grace Kathleen Powell, L.AC, DACM
• Katie Pratt
• Lynne Marie Prieto
• Diana Maria Prince, M.D.
• Kathy Louise Principi, M.D.
• Elisa Pujals, M.D.
• Yareli Madelin Pulido
• Anne Marie Purdy, APRN
• Radiant Dental Aesthetics
• Raleys

• Ambulance in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.