Pacific Transportation Service LLC

Primary specialty

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

License

68 Issued in VA

Legal business name

PACIFIC TRANSPORTATION SERVICE LLC

Practice address

1501 Ranger Loop
#204
Woodbridge, VA 22191-5256

Phone

(703) 597-8734

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Ademela O Onamakinde

Title

Director of Operations

Phone

(703) 597-8734

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1790054930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 RANGER LOOP",
            "address_2": "#204",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915256",
            "telephone_number": "703-597-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RANGER LOOP",
            "address_2": "#204",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915256",
            "telephone_number": "703-597-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "ONAMAKINDE",
        "authorized_official_first_name": "ADEMELA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "703-597-8734"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "68",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.