Active NPI
Northstar Transportation Service LLC
- Non-emergency Medical Transport (VAN)
- Los Angeles, CA
National Provider Identifier
1912592379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- NORTHSTAR TRANSPORTATION SERVICE LLC
- Practice address
- 360 E 2ND St
Los Angeles, CA 90012-4238 - Phone
- (323) 921-5074
- NPI assigned
- Mar 7, 2021
- 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
- Anthony I Wooley
- Title
- Manager
- Phone
- (323) 551-8355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
360 E 2ND St
Los Angeles, CA 90012-4238
Mailing address
360 E 2ND St
Los Angeles, CA 90012-4238
Phone (323) 921-5074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A6391873 | Other | CA | DRIVER LICENSE |
National Provider Directory
National Provider DirectoryLocations
360 E 2nd St
Los Angeles, CA 90012
Phone (323) 921-5074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615075200000",
"number": "1912592379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E 2ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124238",
"telephone_number": "323-921-5074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E 2ND ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124238",
"telephone_number": "323-921-5074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSTAR TRANSPORTATION SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-07",
"last_updated": "2021-03-07",
"certification_date": "2021-03-07",
"status": "A",
"authorized_official_last_name": "WOOLEY",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-551-8355"
},
"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": "DRIVER LICENSE",
"identifier": "A6391873",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.