Healthcare Provider Details
I. General information
NPI: 1003290453
Provider Name (Legal Business Name): TRANSTREME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2015
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3135 PROSPECT AVE
KANSAS CITY MO
64128-1552
US
IV. Provider business mailing address
5562 PHILADELPHIA ST STE 301
CHINO CA
91710-2499
US
V. Phone/Fax
- Phone: 816-209-1237
- Fax: 816-577-5091
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | NP95002096 |
| License Number State | CA |
VIII. Authorized Official
Name:
RICK
MICHEL
Title or Position: CO
Credential:
Phone: 713-589-5283