Extra Care Medical Transport

Primary specialty

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

License

20080705 Issued in CA

Legal business name

EXTRA CARE MEDICAL TRANSPORT

Practice address

5150 Candlewood St
Suite 17 F
Lakewood, CA 90712-1925

Phone

(323) 422-2512

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Seneca Monet Walker

Title

Owner

Phone

(323) 422-2512

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1922533942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD STREET",
            "address_2": "SUITE 17 F",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "902171927",
            "telephone_number": "323-422-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST",
            "address_2": "SUITE 17 F",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121925",
            "telephone_number": "323-422-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA CARE MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SENECA",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-422-2512",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "20080705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201613010103",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Tatiana Espinoza
• Benjamin Gilbert Estefania
• Denise Marie Estrada, LAC
• Gina Maria Estrada, LVN
• Marcella Estrada, RSLD
• Monica Fahim
• Fairy Empowered Therapy
• Khaled Fakoor, PHARM.D/R.PH.
• Suzanne Mary Falkenburg, R.D.
• Family Intervention Center & Services

• Non-emergency Medical Transport (VAN) in Lakewood, CA
• Providers in Lakewood, 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 Apr 27, 2017; 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.