Organization Active NPI

MD Medical Transport

  • Non-emergency Medical Transport (VAN)
  • San Bernardino, CA
National Provider Identifier
1013515733
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MD MEDICAL TRANSPORT
Practice address
275 W Hospitality LN Ste 322
San Bernardino, CA 92408-3265
Phone
(415) 635-9239
NPI assigned
Oct 14, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MD MEDICAL TRANSPORTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Medie Pizarro ValdezNPI 1659842714
Title
Ceo
Phone
(415) 635-9239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

275 W Hospitality LN Ste 322
San Bernardino, CA 92408-3265

Mailing address

275 W Hospitality LN Ste 322
San Bernardino, CA 92408-3265
Phone (415) 635-9239

Other names 1

  • Medie Valdez Former legal business name

National Provider Directory

National Provider Directory
Part of
MD Medical Transport

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1013515733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 322",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083265",
            "telephone_number": "415-635-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 322",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083265",
            "telephone_number": "415-635-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL TRANSPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MD MEDICAL TRANSPORT",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "MEDIE",
        "authorized_official_middle_name": "PIZARRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-635-9239"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medie Valdez",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.