Provider Demographics
NPI:1396412383
Name:SAFER MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:SAFER MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRAKOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-719-1240
Mailing Address - Street 1:872 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-1121
Mailing Address - Country:US
Mailing Address - Phone:714-912-8300
Mailing Address - Fax:714-276-9922
Practice Address - Street 1:872 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-1121
Practice Address - Country:US
Practice Address - Phone:714-912-8300
Practice Address - Fax:714-276-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1396412383Medicaid