Active NPI
Center for Community Integration San Diego
- Non-emergency Medical Transport (VAN)
- San Diego, CA
National Provider Identifier
1124594817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CENTER FOR COMMUNITY INTEGRATION SAN DIEGO
- Practice address
- 6602 El Cajon Blvd Ste B
San Diego, CA 92115-2803 - Phone
- (619) 254-2771
- NPI assigned
- Oct 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Starlin M Shire
- Title
- Ceo
- Phone
- (619) 254-2771
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
6602 El Cajon Blvd Ste B
San Diego, CA 92115-2803
Mailing address
6602 El Cajon Blvd Ste B
San Diego, CA 92115-2803
Phone (619) 254-2771
Other names 1
- Medstar Transportation
National Provider Directory
National Provider DirectoryLocations
6602 El Cajon Blvd
Ste B
San Diego, CA 92115
Phone (619) 254-2771
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Vocational Nurse
- El Cajon, CA
- NPI 1598309197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1124594817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 EL CAJON BLVD STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921152803",
"telephone_number": "619-254-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 EL CAJON BLVD STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921152803",
"telephone_number": "619-254-2771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR COMMUNITY INTEGRATION SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-19",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "SHIRE",
"authorized_official_first_name": "STARLIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-254-2771"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medstar Transportation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.