Organization Active NPI

Malibu Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Moreno Valley, CA
National Provider Identifier
1811403306
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MALIBU TRANSPORTATION LLC
Practice address
15360 Avenida Fiesta
Moreno Valley, CA 92555-4120
Phone
(310) 213-6846
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Kim Dozier
Title
Owner
Phone
(310) 213-6846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

15360 Avenida Fiesta
Moreno Valley, CA 92555-4120

Mailing address

15360 Avenida Fiesta
Moreno Valley, CA 92555-4120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1811403306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15360 AVENIDA FIESTA",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15360 AVENIDA FIESTA",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554120",
            "telephone_number": "310-213-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "DOZIER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-213-6846"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.