Familytree Medical Transport LLC

Primary specialty

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

License

201013010156 Issued in CA

Legal business name

FAMILYTREE MEDICAL TRANSPORT LLC

Practice address

8130 Ney Ave
Oakland, CA 94605-3505

Phone

(510) 316-4226

Fax

(510) 764-1120

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Zowadoe Mehn, EMS

Title

Owner/Operation Manager

Phone

(510) 316-4226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1982979415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21074",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945469074",
            "telephone_number": "510-316-4226",
            "fax_number": "510-764-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 NEY AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053505",
            "telephone_number": "510-316-4226",
            "fax_number": "510-764-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYTREE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "MEHN",
        "authorized_official_first_name": "ZOWADOE",
        "authorized_official_title_or_position": "OWNER/OPERATION MANAGER",
        "authorized_official_telephone_number": "510-316-4226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMS"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "201013010156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Planning Speciallists Medical Group
• Family Practice Medical Group of Oakland
• Family Support Services
• Family Support Services
• Family Tree Psychology Group Inc. (Family Tree Wellness Center)
• Calvin Fammons
• Akinjide Famoyegun
• Grace Y. Fan, MD
• Horng D Fan, MD
• Jessica Hwei-Jay Fan, MD

• Non-emergency Medical Transport (VAN) in Oakland, CA
• Providers in Oakland, 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 Mar 16, 2012; 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.