Organization Active NPI

Serenity Medical Transport

  • Contractor
  • Jurupa Valley, CA
National Provider Identifier
1235808296
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
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

Updated by the provider on Sep 12, 2021

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

Authorized official

Name
Mr. Kanwaljit S AnandNPI 1295313526
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)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2051OtherAMERICAN LOGISTIC COMPANY

Other names 1

  • SERENITY MEDICAL TRANSPORT Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SMTINC19@GMAIL.COM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.