=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962302513
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRINITY TRANSPORT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/07/2026
-----------------------------------------------------
Last Update Date | 11/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20951 DELPHINE DR
-----------------------------------------------------
City | WALNUT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91789-2520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-772-2282
-----------------------------------------------------
Fax | 866-363-0389
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20951 DELPHINE DR
-----------------------------------------------------
City | WALNUT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91789-2520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-772-2282
-----------------------------------------------------
Fax | 866-363-0389
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MS. KENDRA LOUISE WIGGAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 909-772-2282
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------