Faithful Medical Transport Services LLC

Primary specialty

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

License

201703210371 Issued in CA

Legal business name

FAITHFUL MEDICAL TRANSPORT SERVICES LLC

Practice address

17777 Center Court Drive
Suite 600
Cerritos, CA 90703

Phone

(562) 714-0488

Fax

(714) 752-6083

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kris Johnson

Title

Owner

Phone

(562) 714-1063

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1891234787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18173 PIONEER BLVD STE C",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013982",
            "telephone_number": "562-860-8800",
            "fax_number": "562-366-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 CENTER COURT DRIVE",
            "address_2": "SUITE 600",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-714-0488",
            "fax_number": "714-752-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL MEDICAL TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-714-1063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "201703210371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Cerritos, CA
• Providers in Cerritos, 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 Apr 28, 2017; 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.