Organization Active NPI

Southern California Medical Trasnsport

  • Non-emergency Medical Transport (VAN)
  • Rancho Cucamonga, CA
National Provider Identifier
1184889693
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SOUTHERN CALIFORNIA MEDICAL TRASNSPORT
Doing business as
Southern California Medical Transport
Practice address
8700 Haven Ave Ste 2113
Rancho Cucamonga, CA 91730
Phone
(909) 374-5334
Fax
(909) 980-6141
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mr. Phillip Mark Rueda
Title
Cfo
Phone
(909) 374-5334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

8700 Haven Ave Ste 2113
Rancho Cucamonga, CA 91730

Mailing address

8700 Haven Ave Ste 2113
Rancho Cucamonga, CA 91730
Phone (909) 563-4900

Other names 1

  • Southern California Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

8700 HVN Ave Ste 2113
Rancho Cucamonga, CA 91730
Phone (909) 374-5334

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1184889693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 HAVEN AVE STE 2113",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-563-4900",
            "fax_number": "909-980-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 HAVEN AVE STE 2113",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-374-5334",
            "fax_number": "909-980-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA MEDICAL TRASNSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "RUEDA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-374-5334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.