Healthcare Provider Details

I. General information

NPI: 1104743186
Provider Name (Legal Business Name): TRUVEGA MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E 24TH ST STE 3A
YUMA AZ
85364-8620
US

IV. Provider business mailing address

100 E 24TH ST STE 3A
YUMA AZ
85364-8620
US

V. Phone/Fax

Practice location:
  • Phone: 928-750-6410
  • Fax: 928-750-6433
Mailing address:
  • Phone: 928-750-6410
  • Fax: 928-750-6433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: IVAN H VEGA
Title or Position: CEO
Credential: FNP
Phone: 928-750-6410