Active NPI
Serenity Medical Transport
- Contractor
- Jurupa Valley, CA
National Provider Identifier
1235808296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- SERENITY MEDICAL TRANSPORT
- Practice address
- 7801 Abagail Rd
Jurupa Valley, CA 92509-3337 - Phone
- (909) 243-3666
- NPI assigned
- Sep 12, 2021
- 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
- Mr. Kanwaljit S Anand
- Title
- President
- Phone
- (909) 243-3666
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
7801 Abagail Rd
Jurupa Valley, CA 92509-3337
Mailing address
7801 Abagail Rd
Jurupa Valley, CA 92509-3337
Phone (909) 243-3666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2051 | Other | AMERICAN LOGISTIC COMPANY |
Other names 1
- SERENITY MEDICAL TRANSPORT
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SMTINC19@GMAIL.COM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Jurupa Valley, CA
- NPI 1295313526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631404800000",
"number": "1235808296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 ABAGAIL RD",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "925093337",
"telephone_number": "909-243-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 ABAGAIL RD",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "925093337",
"telephone_number": "909-243-3666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY MEDICAL TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-12",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A",
"authorized_official_last_name": "ANAND",
"authorized_official_first_name": "KANWALJIT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-243-3666",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN LOGISTIC COMPANY",
"identifier": "2051",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SMTINC19@GMAIL.COM",
"affiliation": "N",
"endpointDescription": "EMAIL",
"address_1": "7801 Abagail Rd",
"city": "Jurupa Valley",
"state": "CA",
"country_code": "US",
"postal_code": "925093337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "SERENITY MEDICAL TRANSPORT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jurupa Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.