Advocate for Independent Living
Organization Active NPI Non-emergency Medical Transport (VAN) · Lakeport, CA
NPI 1891866935 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1891866935
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- ADVOCATE FOR INDEPENDENT LIVING
- Practice address
- 2520 Hartley St
Lakeport, CA 95453-6932 - Phone
- (707) 263-5230
- Fax
- (707) 263-3927
- NPI assigned
- Nov 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Denise Frane
- Title
- Business Administrator
- Phone
- (707) 263-5230
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Adults in Community Transition
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
2520 Hartley St
Lakeport, CA 95453-6932
Mailing address
2520 Hartley St
Lakeport, CA 95453-6932
Phone (707) 263-5230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030813 | Other | CA | MEDI CAL |
Other names
- Medi Transport
NPI Registry JSON
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891866935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 HARTLEY ST",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536932",
"telephone_number": "707-263-5230",
"fax_number": "707-263-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 HARTLEY ST",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536932",
"telephone_number": "707-263-5230",
"fax_number": "707-263-3927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVOCATE FOR INDEPENDENT LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FRANE",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "707-263-5230",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "1030813",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medi Transport",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lakeport, CA
- Adventist Health Clearlake Hospital Inc
- Adventist Health Clearlake Hospital, Inc
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Soledad Rose Aguayo
- Diane Alcala
- Daniel Alekyan
- Alexander R. McGeoch, DDS, Apc
- Mohamad Moutaz Almawaldi
All providers in Lakeport, CA · Non-emergency Medical Transport (VAN) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.