Active NPI
Professional Transport, Inc
- Non-emergency Medical Transport (VAN)
- San Jose, CA
National Provider Identifier
1780024356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- PROFESSIONAL TRANSPORT, INC
- Practice address
- 2016 Forest Ave
Suite 5
San Jose, CA 95128-4804 - Phone
- (408) 937-9000
- Fax
- (408) 937-9002
- NPI assigned
- Jun 27, 2013
- 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
- Mr. Mohammed Habeeb Ahmed, M.D.
- Title
- President
- Phone
- (408) 937-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2016 Forest Ave
Suite 5
San Jose, CA 95128-4804
Mailing address
200 Jose Figueres Ave
Suite 325
San Jose, CA 95116-1592
Phone (408) 937-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770593105 | Medicaid | CA |
Other names 1
- Kaaj Medical Transport
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373932800000",
"number": "1780024356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE",
"address_2": "SUITE 325",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161592",
"telephone_number": "408-937-9000",
"fax_number": "408-937-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 FOREST AVE",
"address_2": "SUITE 5",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284804",
"telephone_number": "408-937-9000",
"fax_number": "408-937-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL TRANSPORT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-27",
"last_updated": "2013-07-16",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "HABEEB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-937-9000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770593105",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kaaj Medical Transport",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.