MODA TRANS, LLC (NPI# 1538676523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538676523 |
| Entity Type | Organization |
| Organization Name | MODA TRANS, LLC |
| Practice Address |
4201 Long Beach Blvd Ste 420 Long Beach CA 90807-2022 |
| Practice Telephone | 8776632123 |
| Practice Fax Number | 8776632003 |
| Mailing Telephone | 8776632123 |
| Mailing Fax Number | 8776632003 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | KEN LA (PRESIDENT) |
| Authorized Official Telephone | 7143178388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
4201 LONG BEACH BLVD STE 420 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| 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 |
|---|---|---|---|---|
| 1417564089 | Trvl Care LLC | Non-emergency Medical Transport (VAN) | 4545 Whaley Ave, Long Beach, CA 90807-1445 | 2020-09-28 |
| 1972112688 | Onyx Healthcare Services LLC | Non-emergency Medical Transport (VAN) | 5050 E Garford St Apt 246, Long Beach, CA 90815-5818 | 2020-07-28 |
| 1215425129 | Jorge Edward Delgado | Non-emergency Medical Transport (VAN) | 610 Coronado Ave, Long Beach, CA 90814-1438 | 2018-04-26 |
| 1811423882 | Care Medical Services | Non-emergency Medical Transport (VAN) | 4508 Atlantic Ave Ste 459, Long Beach, CA 90807-1520 | 2017-05-11 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| 1508239930 | Ace Ambulette Transportation, LLC | Non-emergency Medical Transport (VAN) | 3294 Cherry Ave, Long Beach, CA 90807-5214 | 2015-11-06 |
| 1396148524 | Obsidian | Non-emergency Medical Transport (VAN) | 2030 Eucalyptus Ave, Long Beach, CA 90806-4606 | 2014-10-02 |
| 1588078455 | Jaffray Wee | Non-emergency Medical Transport (VAN) | 3717 Country Club Dr Unit 8, Long Beach, CA 90807-3137 | 2014-06-18 |
| 1336482470 | Lamond Brooks | Non-emergency Medical Transport (VAN) | 235 E Broadway Ste 718, Long Beach, CA 90802-4846 | 2013-03-27 |
| 1699042556 | Swift Care | Non-emergency Medical Transport (VAN) | 2900 Easy Ave, Long Beach, CA 90810-2847 | 2011-11-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on MODA TRANS, LLC.
| 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.