Coast Medical Transport, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

COAST MEDICAL TRANSPORT, INC

Practice address

8733 N Magnolia Ave Ste 120
Santee, CA 92071-4524

Phone

(619) 258-4274

NPI assigned

May 8, 2019

Last updated

Apr 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Giovanna Bolouki

Title

Chief Operating Officer

Phone

(619) 729-2229

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1144885765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 N MAGNOLIA AVE STE 120",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714524",
            "telephone_number": "866-502-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 N MAGNOLIA AVE STE 120",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714524",
            "telephone_number": "619-258-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST MEDICAL TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "BOLOUKI",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "619-729-2229"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Santee, CA
• Providers in Santee, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.