Excellent Transporter LLC

Primary specialty

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

Legal business name

EXCELLENT TRANSPORTER LLC

Practice address

7490 Opportunity Rd Ste 2720
San Diego, CA 92111-2232

Phone

(619) 522-4944

NPI assigned

Dec 7, 2022

Organization subpart

No

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

Authorized official

Name

Miss Wasan Hazim Oro, CASE WORKER

Title

Owner

Phone

(619) 522-4944

Specialties & licenses 1

Addresses

Other names 1

• Excellent Transporter Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1851002109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 OPPORTUNITY RD STE 2720",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112232",
            "telephone_number": "619-522-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 OPPORTUNITY RD STE 2720",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112232",
            "telephone_number": "619-522-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT TRANSPORTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "ORO",
        "authorized_official_first_name": "WASAN",
        "authorized_official_middle_name": "HAZIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-522-4944",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CASE WORKER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "text",
            "affiliation": "Y",
            "endpointDescription": "text",
            "affiliationName": "Excellent  Transport",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "text",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "7490 Opportunity Rd Ste 2720",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921112232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Excellent Transporter",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in San Diego, CA
• Providers in San Diego, 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 Dec 7, 2022; 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.