EDEN MEDICAL TRANSPORTATION (NPI# 1083132518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083132518 |
| Entity Type | Organization |
| Organization Name | EDEN MEDICAL TRANSPORTATION |
| Other Organization Name | EDEN MEDICA TRANSPORTATION |
| Practice Address |
1601 165th Ave Apt 107 San Leandro CA 94578-3164 |
| Mailing Address |
Po Box 3851 San Leandro CA 94578-0851 |
| Practice Telephone | 5109578383 |
| Mailing Telephone | 5109578383 |
| Mailing Fax Number | 5102635754 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Authorized Official Name | MR. AWWAM M ISMAIL (MANAGER) |
| Authorized Official Telephone | 5109578383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 127968 | CA | Transportation Services |
| Other Name | Type Code |
|---|---|
| eden Medica Transportation | Doing Business As Name - Organization |
| Street Address |
1601 165TH AVE APT 107 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834452 | Royal Sage LLC | Non-emergency Medical Transport (VAN) | 884 Davis St Apt 308, San Leandro, CA 94577-1500 | 2020-02-24 |
| 1063045763 | Bell Transit Corporation | Non-emergency Medical Transport (VAN) | 1400 Doolittle Dr, San Leandro, CA 94577-2226 | 2020-02-20 |
| 1336770197 | Hussein Totach | Non-emergency Medical Transport (VAN) | 1271 Washington Ave Ste 654, San Leandro, CA 94577-3646 | 2020-01-30 |
| 1205322914 | Lifesavers Transportation LLC | Non-emergency Medical Transport (VAN) | 1515 Aurora Dr Ste 101b, San Leandro, CA 94577-3105 | 2018-07-05 |
| 1275034498 | Chibueze Elendu | Non-emergency Medical Transport (VAN) | 1656 Magnolia Ln, San Leandro, CA 94577-2642 | 2018-02-22 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1619384070 | Ez Transit Shuttle Services | Non-emergency Medical Transport (VAN) | 1515 Aurora Dr Ste 201h, San Leandro, CA 94577-3105 | 2014-07-17 |
| 1720416449 | Bug Transportation LLC | Non-emergency Medical Transport (VAN) | 1515 Aurora Dr, Suite 103a, San Leandro, CA 94577-3105 | 2013-10-15 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1457966715 | Medichair Transportation LLC | Non-emergency Medical Transport (VAN) | 1271 Washington Ave Ste 654, San Leandro, CA 94577-3646 | 2020-09-14 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
Please comment or provide details below to improve the information on EDEN MEDICAL TRANSPORTATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.