Organization Active NPI

Medtrans

  • Non-emergency Medical Transport (VAN)
  • North Hollywood, CA
National Provider Identifier
1861421729
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
64225484 Issued in CA
Legal business name
MEDTRANS
Practice address
11490 Burbank Blvd,
#4E
North Hollywood, CA 91601
Phone
(818) 783-4670
Fax
(818) 986-4628
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Mr. Igor Beloborodov
Title
Manager
Phone
(818) 468-7922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 64225484 CA Primary

Addresses

Primary practice location

11490 Burbank Blvd,
#4E
North Hollywood, CA 91601

Mailing address

14560 Clark St,
#201
Sherman Oaks, CA 91411
Phone (818) 468-7922

Other identifiers 1

IdentifierTypeStateIssuer
MTN01141FOtherCAMEDICAL TRANSPORTATION

Other names 1

  • MedTrans Doing business as

National Provider Directory

National Provider Directory

Locations

11490 Burbank Blvd
Ste 4E
North Hollywood, CA 91601
Phone (818) 783-4670

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1861421729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 CLARK ST,",
            "address_2": "#201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91411",
            "telephone_number": "818-468-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 BURBANK BLVD,",
            "address_2": "#4E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91601",
            "telephone_number": "818-783-4670",
            "fax_number": "818-986-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BELOBORODOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-468-7922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "64225484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRANSPORTATION",
            "identifier": "MTN01141F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTrans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.