Active NPI
Marita Kaw
- Non-emergency Medical Transport (VAN)
- Los Angeles, CA
National Provider Identifier
1891882379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- MTN00520F
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN00520F | Medicaid | CA |
Other names 1
- medi-coach
National Provider Directory
National Provider DirectoryNPI 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.