Provider Demographics
NPI:1861282683
Name:ONE-UP MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:ONE-UP MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CULLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:925-834-8756
Mailing Address - Street 1:195 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-2531
Mailing Address - Country:US
Mailing Address - Phone:925-834-8756
Mailing Address - Fax:
Practice Address - Street 1:195 W 9TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-2531
Practice Address - Country:US
Practice Address - Phone:925-834-8756
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)