Delta Medi Trans Ca LLC

Primary specialty

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

Legal business name

DELTA MEDI TRANS CA LLC

Practice address

23945 Sunnymead Blvd Ste 4
Moreno Valley, CA 92553-3025

Phone

(330) 261-3910

NPI assigned

Nov 16, 2023

Last updated

Nov 16, 2023By 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

Mohd Shahim H Alrawahneh

Title

Ceo

Phone

(330) 261-3910

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1942075304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23945 SUNNYMEAD BLVD STE 4",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533025",
            "telephone_number": "330-261-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23945 SUNNYMEAD BLVD STE 4",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533025",
            "telephone_number": "330-261-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDI TRANS CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ALRAWAHNEH",
        "authorized_official_first_name": "MOHD",
        "authorized_official_middle_name": "SHAHIM H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-261-3910"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Dela Cruz, RPT
• Denise Delgado
• Denise N Delgado
• Stacy Delgado
• Delopmental Client Care
• Stanley Robert Dennison III, DO
• Deo Martinez MD PC
• Sandeep Deogun, CRNA
• Rita Derderian
• Desire Sally Derrera, BS

• Non-emergency Medical Transport (VAN) in Moreno Valley, CA
• Providers in Moreno Valley, 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 Nov 16, 2023; 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.