Organization Active NPI

Shuttlemed, Inc

  • Non-emergency Medical Transport (VAN)
  • Anaheim, CA
National Provider Identifier
1932210689
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN01127F Issued in CA
Legal business name
SHUTTLEMED, INC
Practice address
1601 S Sinclair St
Suite JK
Anaheim, CA 92806-5928
Phone
(714) 939-7849
Fax
(714) 939-7853
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mr. William Mallari Manalo
Title
President
Phone
(714) 939-7849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN01127F CA Primary

Addresses

Primary practice location

1601 S Sinclair St
Suite JK
Anaheim, CA 92806-5928

Mailing address

1601 S Sinclair St
Suite JK
Anaheim, CA 92806-5928
Phone (714) 939-7849

Other names 1

  • ShuttleMED Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

1601 S Sinclair St
Ste Jk
Anaheim, CA 92806
Phone (714) 939-7849

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1932210689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S SINCLAIR ST",
            "address_2": "SUITE JK",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065928",
            "telephone_number": "714-939-7849",
            "fax_number": "714-939-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S SINCLAIR ST",
            "address_2": "SUITE JK",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065928",
            "telephone_number": "714-939-7849",
            "fax_number": "714-939-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUTTLEMED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MALLARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-939-7849",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01127F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShuttleMED Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.