Divine Medical Transportation LLC

Primary specialty

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

Legal business name

DIVINE MEDICAL TRANSPORTATION LLC

Practice address

1321 Howe Ave Ste 203
Sacramento, CA 95825-3365

Phone

(916) 801-5048

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David Ndudim, ATTORNEY

Title

President

Phone

(916) 801-5048

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1831453331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE STE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253365",
            "telephone_number": "916-801-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE STE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253365",
            "telephone_number": "916-801-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "NDUDIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-801-5048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Ditomasso, DMD
• Jordan P Ditri
• Traci Lee Ditri
• Kimberly Micheal Dittberner
• Divine Mama Doula LLC
• Amanda Nugent Divine, M.S., LMFT
• Diviya Khiria DDS Inc
• Lakea Diwa
• Babette Denise Dixon-Billingsley
• Hedwig Dixon-Johnson

• Non-emergency Medical Transport (VAN) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.