Organization Active NPI

Medi-Lift Inc

  • Non-emergency Medical Transport (VAN)
  • Fortuna, CA
National Provider Identifier
1962275958
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI-LIFT INC
Practice address
2000 Sunny Heights Dr
Fortuna, CA 95540-1618
Phone
(707) 845-0806
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Debra K MendesNPI 1801669189
Title
President
Phone
(707) 845-0806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2000 Sunny Heights Dr
Fortuna, CA 95540-1618

Mailing address

2000 Sunny Heights Dr
Fortuna, CA 95540-1618
Phone (707) 845-0806

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1962275958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SUNNY HEIGHTS DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955401618",
            "telephone_number": "707-845-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SUNNY HEIGHTS DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955401618",
            "telephone_number": "707-845-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-LIFT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MENDES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-845-0806"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.