Express Medical Transportation Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

342-9430-6 Issued in CA

Legal business name

EXPRESS MEDICAL TRANSPORTATION INC.

Practice address

155 C St
Ste B.
Upland, CA 91786-6090

Phone

(909) 946-6964

Fax

(909) 946-9306

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Vartan Petrossian

Title

President

Phone

(909) 946-6964

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902936081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2037",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917852037",
            "telephone_number": "909-946-6964",
            "fax_number": "909-946-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 C ST",
            "address_2": "STE B.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866090",
            "telephone_number": "909-946-6964",
            "fax_number": "909-946-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROSSIAN",
        "authorized_official_first_name": "VARTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-946-6964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "342-9430-6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIED HEALTH PROVIDER",
            "identifier": "MTN00326F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Upland, CA
• Providers in Upland, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.