Organization Active NPI

Marita Kaw

  • Non-emergency Medical Transport (VAN)
  • Los Angeles, CA
National Provider Identifier
1891882379
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN00520F Issued in CA
Legal business name
MARITA KAW
Practice address
3161 Butler Ave
Los Angeles, CA 90066-1301
Phone
(310) 313-1111
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Marita Kaw
Title
Sole Proprietor
Phone
(310) 313-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN00520F CA Primary

Addresses

Primary practice location

3161 Butler Ave
Los Angeles, CA 90066-1301

Mailing address

3161 Butler Ave
Los Angeles, CA 90066-1301

Other identifiers 1

IdentifierTypeStateIssuer
MTN00520FMedicaidCA

Other names 1

  • medi-coach Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1891882379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 BUTLER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 BUTLER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900661301",
            "telephone_number": "310-313-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITA KAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KAW",
        "authorized_official_first_name": "MARITA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "310-313-1111"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN00520F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN00520F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medi-coach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.