Organization Active NPI

St. Alexius Transportation

  • Non-emergency Medical Transport (VAN)
  • Daly City, CA
National Provider Identifier
1093924524
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ST. ALEXIUS TRANSPORTATION
Practice address
333 Gellert Blvd Ste 208
Daly City, CA 94015-2614
Phone
(650) 989-8987
Fax
(650) 745-8329
NPI assigned
May 22, 2007
Last updated
Jun 18, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ST ALEXIUS TRANSPORTATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Mrs. Michelle Aumentado De Guzman, R.N.
Title
Owner
Phone
(650) 278-0205

Specialties & licenses 1

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

Addresses

Primary practice location

333 Gellert Blvd Ste 208
Daly City, CA 94015-2614

Mailing address

333 Gellert Blvd Ste 208
Daly City, CA 94015-2614
Phone (650) 989-8987

Other identifiers 1

IdentifierTypeStateIssuer
MTN01251FOtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Part of
St Alexius Transportation

Locations

333 Gellert Blvd
Ste 208
Daly City, CA 94015
Phone (650) 989-8987

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1093924524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD STE 208",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152614",
            "telephone_number": "650-989-8987",
            "fax_number": "650-745-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GELLERT BLVD STE 208",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152614",
            "telephone_number": "650-989-8987",
            "fax_number": "650-745-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALEXIUS TRANSPORTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ALEXIUS TRANSPORTATION",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "AUMENTADO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "16502780205",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "MTN01251F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.