Active NPI
Medtrans
- Non-emergency Medical Transport (VAN)
- North Hollywood, CA
National Provider Identifier
1861421729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 64225484
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN01141F | Other | CA | MEDICAL TRANSPORTATION |
Other names 1
- MedTrans
National Provider Directory
National Provider DirectoryLocations
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.