Individual provider Active NPI

Sandy Ben Kamanda

  • Non-emergency Medical Transport (VAN)
  • Jacksonville, FL
National Provider Identifier
1912533795
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
9974 Timber Falls LN
Jacksonville, FL 32219-4357
Phone
(904) 400-4033
NPI assigned
Mar 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

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

Addresses

Primary practice location

9974 Timber Falls LN
Jacksonville, FL 32219-4357

Mailing address

9974 Timber Falls LN
Jacksonville, FL 32219-4357
Phone (904) 400-4033

Other identifiers 1

IdentifierTypeStateIssuer
82-2883266OtherIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Makaam Services, LLC CurrentSince Sep 13, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1912533795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9974 TIMBER FALLS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194357",
            "telephone_number": "904-400-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9974 TIMBER FALLS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194357",
            "telephone_number": "904-400-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMANDA",
        "first_name": "SANDY",
        "middle_name": "BEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "82-2883266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.