ORIGIN TRANSPORT LLC NPI 1215665146

NPI Information

NPI: 1215665146
Provider Name: ORIGIN TRANSPORT LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Doing Business As: ORIGIN AMBULANCE
Address: 6131 ORANGETHORPE AVE STE 170R
BUENA PARK, CA
ZIP 90620
Phone: (949) 491-3352

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NPI Details

ORIGIN TRANSPORT LLC is a non emergency medical transport van in Buena Park, CA. The provider is 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. ORIGIN TRANSPORT LLC NPI is 1215665146. The provider is registered as an organization entity type.
The provider Is Doing Business As Origin Ambulance.

The provider's business location address is:

6131 ORANGETHORPE AVE STE 170R
BUENA PARK, CA
ZIP 90620-315
Phone: (949) 491-3352

The provider's authorized official is Arek Djermakian .
The authorized official title is Ceo and has the following contact phone number (949) 491-3352.

The enumeration date for this NPI number is 8/9/2022 and was last updated on 10/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			No
2	343900000X	Non-emergency Medical Transport (VAN)				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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