Angel Wings Medtrans LLC

Primary specialty

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

Legal business name

ANGEL WINGS MEDTRANS LLC

Practice address

4125 W Irwin Ave
Phoenix, AZ 85041-6087

Phone

(602) 491-5489

Fax

(623) 246-7060

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Ashraf AbdelrazigNPI 1447951629

Title

Business Owner & Ceo

Phone

(602) 491-5489

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashraf Abdelrazig

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
  • NPI 1447951629
  NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1891485223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 W IRWIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416087",
            "telephone_number": "602-491-5489",
            "fax_number": "623-246-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 W IRWIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416087",
            "telephone_number": "602-491-5489",
            "fax_number": "623-246-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS MEDTRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "ABDELRAZIG",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "BUSINESS OWNER & CEO",
        "authorized_official_telephone_number": "602-491-5489"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.