OrganizationActive
Wellness Transportation LLC
NPI 1114703675 · Non-emergency Medical Transport (VAN) · Los Angeles, CA
Provider details
- NPI number
- 1114703675
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Michael Tibebu, Pharmacist(207) 347-9805
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1850 Whitley Ave Apt 915
Los Angeles, CA 90028-4795
Phone: (207) 347-9805
Street-level locationGet directions
Mailing address
1850 Whitley Ave Apt 915
Los Angeles, CA 90028-4795
Registry dates
- Enumerated
- 2023-08-31
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.