Mercy Medical Transportation, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MERCY MEDICAL TRANSPORTATION, INC.

Practice address

28205 North Lake Wohlford Rd
Valley Center, CA 92082-6742

Phone

(760) 751-9797

Fax

(760) 751-8880

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Miss Lindamari Kirkendall

Title

Billing Supervisor

Phone

(760) 751-9797

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mercy Medical Transportation Inc

  • Land Ambulance
  • Mariposa, CA
  • NPI 1457497026

  9335136480

  Same PAC ID

Tax ID family

Mercy Medical Transport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Medical Transportation Inc

  • Land Ambulance
  • Mariposa, CA
  • NPI 1457497026
  NPD tax ID

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164517520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5004",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953385004",
            "telephone_number": "760-751-9797",
            "fax_number": "760-751-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28205 NORTH LAKE WOHLFORD RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826742",
            "telephone_number": "760-751-9797",
            "fax_number": "760-751-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKENDALL",
        "authorized_official_first_name": "LINDAMARI",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "760-751-9797",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00742F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lee Manchester, FNP-C
• Cindy Marcon, RPT
• Tabetha Martin, RN
• Jacqueline Martinez, RN, DOULA
• John Steven McHale Jr., D.M.D.
• Nicole Meyer Stabler, BCBA
• Brynne Jeanette Meza
• Mercedes R. Mitchell, LCSW
• Kamyar Moghbeli, LMFT
• More Than Physical Therapy Health Services Inc

• Land Ambulance in Valley Center, CA
• Providers in Valley Center, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.