Organization Active NPI

Medsam Transportation

  • Non-emergency Medical Transport (VAN)
  • San Francisco, CA
National Provider Identifier
1255410346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN01016F Issued in CA
Legal business name
MEDSAM TRANSPORTATION
Practice address
674 42ND Ave
San Francisco, CA 94121-2533
Phone
(415) 561-0628
Fax
(415) 561-0621
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Semyon Portnoy
Title
President
Phone
(415) 561-0628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN01016F CA Primary

Addresses

Primary practice location

674 42ND Ave
San Francisco, CA 94121-2533

Mailing address

674 42ND Ave
San Francisco, CA 94121-2533
Phone (415) 561-0628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255410346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 42ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212533",
            "telephone_number": "415-561-0628",
            "fax_number": "415-561-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 42ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212533",
            "telephone_number": "415-561-0628",
            "fax_number": "415-561-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSAM TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTNOY",
        "authorized_official_first_name": "SEMYON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-561-0628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01016F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.