Active NPI
Derek Lamont Tryial
- Non-emergency Medical Transport (VAN)
- Elk Grove, CA
National Provider Identifier
1922740158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 35960R1
- Practice address
- 9245 Laguna Springs Dr Ste 213
Elk Grove, CA 95758-7991 - Phone
- (916) 529-2359
- NPI assigned
- Apr 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 35960R1 | CA | Primary |
Addresses
Primary practice location
9245 Laguna Springs Dr Ste 213
Elk Grove, CA 95758-7991
Mailing address
9245 Laguna Springs Dr Ste 213
Elk Grove, CA 95758-7991
Phone (916) 529-2359
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35960R1 | CA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Around Medical Transportation | Non-Emergency Medical Transport (Van) | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Sacramento, CA
- NPI 1518739291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1922740158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9245 LAGUNA SPRINGS DR STE 213",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587991",
"telephone_number": "916-529-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9245 LAGUNA SPRINGS DR STE 213",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587991",
"telephone_number": "916-529-2359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRYIAL",
"first_name": "DEREK",
"middle_name": "LAMONT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "35960R1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.