Ace of Hearts Medical Transportation, LLC.

Primary specialty

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

Legal business name

ACE OF HEARTS MEDICAL TRANSPORTATION, LLC.

Practice address

7693 Palmilla Dr Apt 2416
San Diego, CA 92122-5088

Phone

(858) 213-5063

NPI assigned

Feb 3, 2023

Last updated

Feb 3, 2023By 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

Mr. Alexandre Sasha Kaluzhski

Title

Manager

Phone

(858) 213-5063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1154027811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7693 PALMILLA DR APT 2416",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225088",
            "telephone_number": "858-213-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7693 PALMILLA DR APT 2416",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225088",
            "telephone_number": "858-213-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE OF HEARTS MEDICAL TRANSPORTATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "KALUZHSKI",
        "authorized_official_first_name": "ALEXANDRE",
        "authorized_official_middle_name": "SASHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-213-5063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in San Diego, CA
• Providers in San Diego, 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 Feb 3, 2023; 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.