Active NPI
Premier Medical Transport, Inc.
- Land Ambulance
- Brea, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PREMIER MEDICAL TRANSPORT, INC.
- Practice address
- 260 N Palm St # 200
Brea, CA 92821-2870 - Phone
- (714) 256-2141
- Fax
- (888) 353-3175
- NPI assigned
- Apr 24, 2007
- 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
- Adrian Dehghanmanesh
- Title
- Ceo
- Phone
- (714) 256-2141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
260 N Palm St # 200
Brea, CA 92821-2870
Mailing address
260 N Palm St # 200
Brea, CA 92821-2870
Phone (714) 256-2141
Other names 2
- Premier Medical Transport
- Primary Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080108000970 | CA | Part B Supplier - Ambulance Service Supplier | 6002996683 | Practice locations: Compton, CA; Van Nuys, CA; South El Monte, CA; San Diego, CA; Los Angeles, CA; Long Beach, CA; Brea, CA; Anaheim, CA |
| O20210115000957 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002996683 | Practice locations: Brea, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2239301 | Premier Medical Transport Inc | Certificate of waiver | Oct 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
8932 Katella Ave
Ste 105
Anaheim, CA 92804
Phone (888) 353-9556
260 N Palm St
Ste 200
Brea, CA 92821
Phone (714) 345-5599
260 N Palm St
#200
Brea, CA 92821
Phone (714) 256-2141
1819 Kona Dr
Compton, CA 90220
Phone (888) 353-9556
4050 N Palm St
Ste 501
Fullerton, CA 92835
Phone (714) 353-9556
16027 Arrow Hwy
Ste G
Irwindale, CA 91706
Phone (888) 353-9556
3370 N San Fernando Rd
Los Angeles, CA 90065
Phone (888) 353-9556
8330 Juniper Creek Ln
San Diego, CA 92126
Phone (888) 353-9556
9860 Rush St
South El Monte, CA 91733
Phone (888) 353-9556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752796800000",
"number": "1902025398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 N PALM ST # 200",
"city": "BREA",
"state": "CA",
"postal_code": "928212870",
"telephone_number": "714-256-2141",
"fax_number": "888-353-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 N PALM ST # 200",
"city": "BREA",
"state": "CA",
"postal_code": "928212870",
"telephone_number": "714-256-2141",
"fax_number": "888-353-3175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL TRANSPORT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A",
"authorized_official_last_name": "DEHGHANMANESH",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-256-2141"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Medical Transport",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Primary Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.