Organization Active NPI

Executive Medical Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Bakersfield, CA
National Provider Identifier
1902470099
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EXECUTIVE MEDICAL TRANSPORT LLC
Practice address
33 S Real Rd Ste 18
Bakersfield, CA 93309-2135
Phone
(661) 808-5303
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Ms. Joan CantonNPI 1538505300
Title
Ceo
Phone
(661) 808-5303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

33 S Real Rd Ste 18
Bakersfield, CA 93309-2135

Mailing address

33 S Real Rd Ste 18
Bakersfield, CA 93309-2135
Phone (661) 808-5303

National Provider Directory

National Provider Directory

Locations

33 S Real Rd
Ste 18
Bakersfield, CA 93309
Phone (661) 808-5303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1902470099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 S REAL RD STE 18",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092135",
            "telephone_number": "661-808-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S REAL RD STE 18",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092135",
            "telephone_number": "661-808-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "CANTON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-808-5303",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.