Healthcare Provider Details

I. General information

NPI: 1245187723
Provider Name (Legal Business Name): WELLNESS MEDICAL TRANSPORTATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 UNION SQ APT 265
UNION CITY CA
94587-8505
US

IV. Provider business mailing address

34 UNION SQ APT 265
UNION CITY CA
94587-8505
US

V. Phone/Fax

Practice location:
  • Phone: 800-888-8500
  • Fax:
Mailing address:
  • Phone: 800-888-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. KEVIN DOUGLAS GRIFFO
Title or Position: GENERAL MANAGER
Credential:
Phone: 407-578-9000