MEDICARE: EXODUS TRANSPORT TEAM 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1497607923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXODUS TRANSPORT TEAM LLC

Provider Business Mailing Address
First Line	:	600 ALCANTAR CIR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2704
Country	:	US
Telephone Number	:	559-246-2060
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 ALCANTAR CIR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2704
Country	:	US
Telephone Number	:	559-246-2060
Fax Number	:

Authorized Official
Title or Position	:	SOLE MBR
Name	:	ROBERT ELIAS WASSERMAN
Credential	:
Telephone Number	:	559-246-2060

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “EXODUS TRANSPORT TEAM LLC ” Practice Location

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