Organization Active NPI

Premier Medical Transport, Inc.

  • Land Ambulance
  • Brea, CA
National Provider Identifier
1902025398
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jul 18, 2025

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)CodeLicenseStatePrimary
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 Doing business as
  • Primary Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2239301Premier Medical Transport Inc260 N Palm St, Brea, CA 92821Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.