Mar Charbel LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MAR CHARBEL LLC

Doing business as

Mercy Medical Transportation

Practice address

1015 El Cajon Blvd # a
El Cajon, CA 92020-5718

Phone

(619) 499-7723

Fax

(619) 499-7979

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Sam Attisha

Title

Managing Member

Phone

(619) 227-2933

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Medical Transportation Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1114664315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 EL CAJON BLVD # A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 EL CAJON BLVD # A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205718",
            "telephone_number": "619-499-7723",
            "fax_number": "619-499-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAR CHARBEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "ATTISHA",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "619-227-2933"
    },
    "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": "D/L",
            "identifier": "N7010454",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mercymedicalsd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email associated with company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1015 El Cajon Blvd # A",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920205718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mercy Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Mansy, MD
• Mariel Anne Manuel, SLP
• Manzanita Health Department
• Sophia Mapalo
• Franklin Maphis, PTA
• Corey H Marco, MD
• Gina Marie Marcon, FNP
• Michelle Marcotte, L.AC
• Tanya Amber Marcus, PAC
• Victoria Marentez, M.A.

• Non-emergency Medical Transport (VAN) in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.