Provider Demographics
NPI:1043626807
Name:ONE ACCESS MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:ONE ACCESS MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMAISA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-676-2534
Mailing Address - Street 1:7921 ENTERPRISE DR
Mailing Address - Street 2:UNIT C
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3459
Mailing Address - Country:US
Mailing Address - Phone:510-648-2085
Mailing Address - Fax:
Practice Address - Street 1:7921 ENTERPRISE DR
Practice Address - Street 2:UNIT C
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-3459
Practice Address - Country:US
Practice Address - Phone:510-648-2085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201412510132343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)