Organization Active NPI

JMK Dependable Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Imperial Beach, CA
National Provider Identifier
1811742497
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JMK DEPENDABLE TRANSPORTATION LLC
Practice address
655 Dahlia Ave
Imperial Beach, CA 91932-2020
Phone
(619) 773-5710
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Michelle Agustin
Title
Owner
Phone
(619) 773-5710

Specialties & licenses 1

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

Addresses

Primary practice location

655 Dahlia Ave
Imperial Beach, CA 91932-2020

Mailing address

655 Dahlia Ave
Imperial Beach, CA 91932-2020
Phone (619) 773-5710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1811742497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DAHLIA AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322020",
            "telephone_number": "619-773-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 DAHLIA AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322020",
            "telephone_number": "619-773-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMK DEPENDABLE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-773-5710"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.