Medreach Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

38825071 Issued in CA

Legal business name

MEDREACH INC.

Practice address

1303 Kona Dr
Compton, CA 90220-5408

Phone

(310) 868-5103

Fax

(310) 868-5373

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen McNab

Title

President

Phone

(310) 868-5103

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1801854468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 KONA DR",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205408",
            "telephone_number": "310-868-5103",
            "fax_number": "310-868-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 KONA DR",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205408",
            "telephone_number": "310-868-5103",
            "fax_number": "310-868-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDREACH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "MCNAB",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-868-5103",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "38825071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00340F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine McClendon
• Michael T McRae, PHD
• David Meacham, PA
• Fabiola Medeiros, M.D.
• Stacey Medina Pelayo
• Teresa Mei, OD
• Daysi Mejia
• Jacqueline Mejia
• Veronica L Mejia
• Muhammad J Memon, M.D.

• Land Ambulance in Compton, CA
• Providers in Compton, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.