MALIBU TRANSPORTATION LLC (NPI# 1811403306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811403306 |
| Entity Type | Organization |
| Organization Name | MALIBU TRANSPORTATION LLC |
| Practice Address |
15360 Avenida Fiesta Moreno Valley CA 92555-4120 |
| Practice Telephone | 3102136846 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | KIM DOZIER (OWNER) |
| Authorized Official Telephone | 3102136846 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Malibu Transportation LLC | 308 North Sterling Blv, Sterling, Virginia 20164 |
| Street Address |
15360 AVENIDA FIESTA |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| 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 |
|---|---|---|---|---|
| 1285257550 | Resham Singh | Non-emergency Medical Transport (VAN) | 13325 Heacock St Apt 74, Moreno Valley, CA 92553-3151 | 2020-05-21 |
| 1538703756 | Ie Non-emergency Medical Transportation | Non-emergency Medical Transport (VAN) | 14340 Palmea Dr, Moreno Valley, CA 92553-4459 | 2019-10-31 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1164985230 | Stanley King | Non-emergency Medical Transport (VAN) | 11747 Pettit St, Moreno Valley, CA 92555-5306 | 2019-04-07 |
| 1467978445 | M&j Medical Transportation Corp | Non-emergency Medical Transport (VAN) | 13800 Heacock St Ste C230j, Moreno Valley, CA 92553-3339 | 2017-08-21 |
| 1871029835 | Star Patient Transport | Non-emergency Medical Transport (VAN) | 23813 Cushenbury Dr, Moreno Valley, CA 92553-3231 | 2017-05-11 |
| 1093127003 | Good Direction Transportation | Non-emergency Medical Transport (VAN) | 23750 Alessandro Blvd Ste L104, Moreno Valley, CA 92553-8813 | 2014-05-25 |
| 1861731838 | Robyn Warmsley | Non-emergency Medical Transport (VAN) | 24555 Polaris Dr, Moreno Valley, CA 92551-7486 | 2013-02-11 |
| 1295009991 | Valley Medi Van | Non-emergency Medical Transport (VAN) | 24601 Iris Ave, Moreno Valley, CA 92551-7222 | 2012-02-28 |
| 1356638316 | Achieve Inc. | Non-emergency Medical Transport (VAN) | 26246 Kalmia Ave, Moreno Valley, CA 92555-1723 | 2011-06-28 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
Please comment or provide details below to improve the information on MALIBU TRANSPORTATION LLC.
| 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.