Double Black Business Ventures LLC

Primary specialty

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

Legal business name

DOUBLE BLACK BUSINESS VENTURES LLC

Practice address

3535 Farquhar Ave Ste 11
Los Alamitos, CA 90720-3937

Phone

(310) 702-5456

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jason Millburn Black

Title

President

Phone

(310) 702-5456

Specialties & licenses 1

Addresses

Other names 1

• Life Star Medical Transport Doing business as

Locations

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1922549880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 FARQUHAR AVE STE 11",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203937",
            "telephone_number": "310-702-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FARQUHAR AVE STE 11",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203937",
            "telephone_number": "310-702-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE BLACK BUSINESS VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MILLBURN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-702-5456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Star Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen Georgia Dolas, M.S., MT-BC
• Arlene M Dolorico, MD
• Joel Dominguez, M.A., MFT
• Donald N Serafano MD Inc
• Brandi Donaldson, LMFT, LPCC
• Isabelle Dougherty, PPS
• James Walsh Doyle, CADC-II T
• Dr Lousine Melik-Adamyan Inc
• Dr. Mindi L. Jentes
• Dr. Sasha Maher D.O.

• Non-emergency Medical Transport (VAN) in Los Alamitos, CA
• Providers in Los Alamitos, 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 Mar 13, 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.