Provider Demographics
NPI:1487149886
Name:NIMBUS MEDTRANSPORT INC.
Entity type:Organization
Organization Name:NIMBUS MEDTRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER (CEO)
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ERNIE
Authorized Official - Last Name:QUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-346-7613
Mailing Address - Street 1:2112 E 4TH ST STE 235
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3840
Mailing Address - Country:US
Mailing Address - Phone:714-798-9850
Mailing Address - Fax:714-798-9376
Practice Address - Street 1:2112 E 4TH ST STE 235
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:949-346-7613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)