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NPI Code Detail

MEDICARE: BAY AREA PREMIER TRANSPORTATION LLC

MEDICARE: BAY AREA PREMIER TRANSPORTATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343800000XSecured Medical Transport (VAN)
2343900000XNon-emergency Medical Transport (VAN)
3347E00000XTransportation Broker

General Provider Information

NPI Number : 1457283343
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY AREA PREMIER TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 3780 MOORPARK AVE APT 1
Second Line :
City : SAN JOSE
State : CA
Zip : 95117-1903
Country : US
Telephone Number : 408-506-6993
Fax Number :
Provider Business Practice Location Address
First Line : 3780 MOORPARK AVE APT 1
Second Line :
City : SAN JOSE
State : CA
Zip : 95117-1903
Country : US
Telephone Number : 408-506-6993
Fax Number :
Authorized Official
Title or Position : FOUNDER & CEO
Name : MR. NEGASH KIFLE
Credential :
Telephone Number : 408-506-6993
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “BAY AREA PREMIER TRANSPORTATION LLC ” Practice Location

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