Organization Active NPI

Time Express LLC

  • Point of Service
  • San Diego, CA
National Provider Identifier
1790172997
Registry record updated Apr 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
TIME EXPRESS LLC
Practice address
6035 University Ave Ste 31
San Diego, CA 92115-6343
Phone
(858) 610-8229
NPI assigned
Apr 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2015

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

Authorized official

Name
Shakur Essa Elmi
Title
Manager/Member
Phone
(858) 610-8229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X
Point of Service 305S00000X Primary

Addresses

Primary practice location

6035 University Ave Ste 31
San Diego, CA 92115-6343

Mailing address

6035 University Ave Ste 31
San Diego, CA 92115-6343
Phone (858) 610-8229

Other names 1

  • Kings and Queens Doing business as

National Provider Directory

National Provider Directory

Locations

6035 University Ave
Ste 31
San Diego, CA 92115
Phone (858) 610-8229

NPI Registry JSON

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429920000000",
    "number": "1790172997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 UNIVERSITY AVE STE 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156343",
            "telephone_number": "858-610-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 UNIVERSITY AVE STE 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156343",
            "telephone_number": "858-610-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-04-25",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "SHAKUR",
        "authorized_official_middle_name": "ESSA",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "858-610-8229"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings and Queens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; 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.