MEDICARE: MEDI-CAL NEMT 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	:	1710834080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDI-CAL NEMT LLC

Provider Business Mailing Address
First Line	:	3820 MEI YEN LN APT 6
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-8761
Country	:	US
Telephone Number	:	661-673-9796
Fax Number	:

Provider Business Practice Location Address
First Line	:	3820 MEI YEN LN APT 6
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-8761
Country	:	US
Telephone Number	:	661-673-9796
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MANRAJ KAUR KINGRA
Credential	:
Telephone Number	:	661-673-9796

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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