Healthcare Provider Details

I. General information

NPI: 1104755404
Provider Name (Legal Business Name): CALIFORNIA MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 N ABBY ST
FRESNO CA
93701-1003
US

IV. Provider business mailing address

2467 CARSON AVE
CLOVIS CA
93611-6548
US

V. Phone/Fax

Practice location:
  • Phone: 559-313-0190
  • Fax:
Mailing address:
  • Phone: 559-313-0190
  • Fax:

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: ARMEN A A MARKARYAN
Title or Position: OWNER/MANAGER
Credential:
Phone: 559-313-0190