Deepamerica Inc

Primary specialty

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

License

MTN00669F Issued in CA

Legal business name

DEEPAMERICA INC

Practice address

123 W Badillo St Ste C
Covina, CA 91723-2026

Phone

(626) 339-7035

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresita Villaruz

Title

Chief Executive Officer

Phone

(714) 863-5089

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1962556738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W BADILLO ST STE C",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232026",
            "telephone_number": "626-339-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W BADILLO ST STE C",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232026",
            "telephone_number": "626-339-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPAMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "VILLARUZ",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-863-5089",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN00669F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN00669F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Covina, CA
• Providers in Covina, 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 Jan 25, 2011; 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.