OBSIDIAN (NPI# 1396148524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396148524 |
| Entity Type | Organization |
| Organization Name | OBSIDIAN |
| Other Organization Name | EMPOWER AMBULANCE COMPANY |
| Practice Address |
2030 Eucalyptus Ave Long Beach CA 90806-4606 |
| Mailing Address |
2201 E. Willow St. Ste D #259 Signal Hill CA 90755-2142 |
| Practice Telephone | 3238043031 |
| Mailing Telephone | 3238043031 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | DR. DERRICK MARLIN MYERS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3238043031 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | CA | Transportation Services |
| Other Name | Type Code |
|---|---|
| Empower Ambulance Company | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OBSIDIAN | 3522 White Oak Dr, Houston, TX 77007-2541 |
| New York State Corporations | OBSIDIAN & STONE LLC | 1967 Wehrle Drive, Suite 1 #08, Buffalo, Ny 14221 |
| Colorado Business Entities | OBSIDIAN ACQUISITIONS LLC | 2020 N Academy Blvd, Ste 261 #945, Colorado Springs, CO 80909 |
| System for Award Management (SAM) Entities | OBSIDIAN ADVANCED MANUFACTURING LLC | 900 Grand Ave Ste A, New Haven, CT 06511-4973 |
| Connecticut Business Registrations | Obsidian Advanced Manufacturing. LLC | 900 Grand Ave, Suite A, New Haven, CT 06511 |
| New York State Corporations | OBSIDIAN ADVISORY PARTNERS LLC | 734 Franklin Avenue #653, Garden City, New York 11530 |
| Virginia Business Entities | Obsidian Airsoft LLC | 2600 Buyrn Circle, Virginia Beach, Virginia 23453 |
| Virginia Business Entities | Obsidian Analysis LLC | 3100 Clarendon Blvd, Suite 400, Arlington, Virginia 22201 |
| System for Award Management (SAM) Entities | OBSIDIAN ANALYSIS, LLC | 3100 Clarendon Blvd Ste 400, Arlington, VA 22201-5302 |
| Oregon Corporations, Companies and Business Names | OBSIDIAN ANCHOR LLC | 36 Jefferson St Apt 2, Eugene, OR 97402 |
| Street Address |
2030 EUCALYPTUS AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564089 | Trvl Care LLC | Non-emergency Medical Transport (VAN) | 4545 Whaley Ave, Long Beach, CA 90807-1445 | 2020-09-28 |
| 1972112688 | Onyx Healthcare Services LLC | Non-emergency Medical Transport (VAN) | 5050 E Garford St Apt 246, Long Beach, CA 90815-5818 | 2020-07-28 |
| 1215425129 | Jorge Edward Delgado | Non-emergency Medical Transport (VAN) | 610 Coronado Ave, Long Beach, CA 90814-1438 | 2018-04-26 |
| 1538676523 | Moda Trans, LLC | Non-emergency Medical Transport (VAN) | 4201 Long Beach Blvd Ste 420, Long Beach, CA 90807-2022 | 2017-12-29 |
| 1811423882 | Care Medical Services | Non-emergency Medical Transport (VAN) | 4508 Atlantic Ave Ste 459, Long Beach, CA 90807-1520 | 2017-05-11 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| 1508239930 | Ace Ambulette Transportation, LLC | Non-emergency Medical Transport (VAN) | 3294 Cherry Ave, Long Beach, CA 90807-5214 | 2015-11-06 |
| 1588078455 | Jaffray Wee | Non-emergency Medical Transport (VAN) | 3717 Country Club Dr Unit 8, Long Beach, CA 90807-3137 | 2014-06-18 |
| 1336482470 | Lamond Brooks | Non-emergency Medical Transport (VAN) | 235 E Broadway Ste 718, Long Beach, CA 90802-4846 | 2013-03-27 |
| 1699042556 | Swift Care | Non-emergency Medical Transport (VAN) | 2900 Easy Ave, Long Beach, CA 90810-2847 | 2011-11-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on OBSIDIAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.