Centurion Medical Transport LLC

Primary specialty

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

Legal business name

CENTURION MEDICAL TRANSPORT LLC

Doing business as

Centurion Medical Transport LLC

Practice address

1516 Oak St Ste 102
Alameda, CA 94501-2953

Phone

(510) 467-2109

Fax

(650) 547-6163

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Emerald Maher

Title

Owner

Phone

(510) 467-2109

Specialties & licenses 1

Addresses

Other names 1

• Centurion Medical Transport LLC Doing business as

Locations

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676678400000",
    "number": "1952020422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 HIGH ST",
            "address_2": "#19069",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94619",
            "telephone_number": "510-467-2109",
            "fax_number": "650-547-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 OAK ST STE 102",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012953",
            "telephone_number": "510-467-2109",
            "fax_number": "650-547-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "EMERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-467-2109"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centurion Medical Transport LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centurion Medical Transport LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Alameda, CA
• Providers in Alameda, 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 Feb 18, 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.