Ili Medical Transportation Inc

Primary specialty

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

Legal business name

ILI MEDICAL TRANSPORTATION INC

Practice address

139 Mitchell Ave Ste 101
South San Francisco, CA 94080-6002

Phone

(415) 672-2446

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By 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

Igor Kulikov

Title

Ceo

Phone

(415) 672-2446

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1912723370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MITCHELL AVE STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806002",
            "telephone_number": "415-672-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MITCHELL AVE STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806002",
            "telephone_number": "415-672-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILI MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "KULIKOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-672-2446"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in South San Francisco, CA
• Providers in South San Francisco, 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 Dec 2, 2024; 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.