=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578009593
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMKAY & SONS DBA #1 AMERICAN MED TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2017
-----------------------------------------------------
Last Update Date | 10/14/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9521 FOLSOM BLVD. SUITE R
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95827-1204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-752-9600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9521 FOLSOM BLVD. SUITE R
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95827-1204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-752-9600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MOHAMED UMER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 916-752-9600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number | GNB32017-00051
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------