Healthcare Provider Details

I. General information

NPI: 1457283343
Provider Name (Legal Business Name): BAY AREA PREMIER TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3780 MOORPARK AVE APT 1
SAN JOSE CA
95117-1903
US

IV. Provider business mailing address

3780 MOORPARK AVE APT 1
SAN JOSE CA
95117-1903
US

V. Phone/Fax

Practice location:
  • Phone: 408-506-6993
  • Fax:
Mailing address:
  • Phone: 408-506-6993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. NEGASH KIFLE
Title or Position: FOUNDER & CEO
Credential:
Phone: 408-506-6993