MEDIVAN (NPI# 1639506405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639506405 |
| Entity Type | Organization |
| Organization Name | MEDIVAN |
| Practice Address |
13800 Parkcenter Lane Tustin CA 92782 |
| Practice Telephone | 7144188948 |
| Mailing Telephone | 7144188948 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | MR. NADER S FURRHA (OWNER) |
| Authorized Official Telephone | 7144188949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 99063412 | CA | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MEDIVAN INC | 3503 Broadway, Ft Wayne, IN 46807 |
| Colorado Business Entities | MediVan LLC | 5031 S Ulster St Unit 1330, Denver, CO 80237 |
| Virginia Business Entities | MEDIVANCE INC. | 321 S Taylor Ave, Louisville, Colorado 80027-3076 |
| Oregon Corporations, Companies and Business Names | MEDIVANCE, INC. | 321 South Taylor Avenue, Louisville, CO 80027 |
| Vermont Business Registrations | MEDIVANCE, INC. | 321 South Taylor Avenue, Lousiville, CO 80027 |
| Iowa Business Entities | MEDIVANCE, INC. | 321 South Taylor Avenue, Louisville, CO 80027 |
| Oklahoma Business Registrations | MEDIVANCE, INC. | 321 S Taylor Ave Ste 200, Louisville, CO 80027 |
| Connecticut Business Registrations | MEDIVANCE, INC. | 321 South Taylor Avenue, Lousiville, CO 80027 |
| Massachusetts Corporations | MEDIVANCE, INC. | 321 South Taylor Avenue, Lousiville, CO 80027-3076 |
| Indiana Business Entities | MEDIVANCE, INCORPORATED | 321 South Taylor Avenue, Lousiville, CO 80027-3076 |
| Street Address |
13800 PARKCENTER LANE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| 1104037456 | Barbara Jean Villa | Optometrist | 2700 Park Avenue, Tustin, CA 92782 | 2007-05-25 |
| Find all providers in zip 92782 | ||||
| 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 |
|---|---|---|---|---|
| 1700412665 | Cali Transit Inc | Non-emergency Medical Transport (VAN) | 131 N Tustin Ave Ste 212, Tustin, CA 92780-2938 | 2020-03-22 |
| 1467084731 | Caremate Inc | Non-emergency Medical Transport (VAN) | 13662 Estero Cir, Tustin, CA 92780-4556 | 2020-02-05 |
| 1104300805 | Hi 1 Transport | Non-emergency Medical Transport (VAN) | 18062 Irvine Blvd Ste 101, Tustin, CA 92780-3328 | 2018-09-18 |
| 1528569175 | Ets Express Trans Sys | Non-emergency Medical Transport (VAN) | 14032 Enderle Center Dr Ste 204, Tustin, CA 92780-2040 | 2018-02-27 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1912369380 | Family Villa Home Care, Inc. | Non-emergency Medical Transport (VAN) | 13122 Woodlawn Ave, Tustin, CA 92780-3842 | 2016-03-24 |
| 1447725841 | Amd Transport | Non-emergency Medical Transport (VAN) | 18062 Irvine Blvd Ste 101, Tustin, CA 92780-3328 | 2018-10-11 |
| 1629432737 | Linda Bolivar | Non-emergency Medical Transport (VAN) | 13122 Woodlawn Ave, Tustin, CA 92780-3842 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1639779796 | Med United Inc | Non-emergency Medical Transport (VAN) | 12153 Via Serrano, El Cajon, CA 92019-5022 | 2020-10-28 |
| 1639779085 | Steemmy Transit LLC | Non-emergency Medical Transport (VAN) | 5179 Lone Tree Way Ste 534, Antioch, CA 94531-8689 | 2020-10-27 |
| 1275132730 | Robbie & Co Limited Liability Company | Non-emergency Medical Transport (VAN) | 4864 Charles Lewis Way, San Diego, CA 92102-4775 | 2020-10-25 |
| 1871192609 | Andre Barian | Non-emergency Medical Transport (VAN) | 4448 Eagle Rock Blvd Ste G, Los Angeles, CA 90041-3512 | 2020-10-22 |
| 1356940043 | Statewide Medical Services LLC | Non-emergency Medical Transport (VAN) | 38 W Sierra Madre Blvd Ste K, Sierra Madre, CA 91024-2488 | 2020-10-22 |
| 1598364424 | Good Health Medical Transport, LLC. | Non-emergency Medical Transport (VAN) | 1009 Highway A12, Montague, CA 96064-9037 | 2020-10-21 |
| 1326647496 | Dickersons Transportation LLC | Non-emergency Medical Transport (VAN) | 234 Baker St Ste 5, Bakersfield, CA 93305-5856 | 2020-10-20 |
| 1669071759 | Doha Murad | Non-emergency Medical Transport (VAN) | 4862 Garden Homes Pl, Elk Grove, CA 95758-9516 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.