Carlos a. Grande

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

MTN01009F Issued in CA

Legal business name

CARLOS A. GRANDE

Doing business as

West Coast Mobility

Practice address

69 San Juan Ave
San Francisco, CA 94112-2615

Phone

(415) 584-2073

NPI assigned

May 21, 2007

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Alberto Grande Jr.

Title

Owner

Phone

(415) 584-2073

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Coast Mobility Doing business as

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1265641088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SAN JUAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAN JUAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122615",
            "telephone_number": "415-584-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A. GRANDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "GRANDE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-584-2073",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01009F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "MTN01009F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helen A. Carlile, FNP
• Morgan Adam Carlile, MD
• Gerald C Carlin, OTR/L
• Shukimba M Carlis, LCSW
• Amanda Sue Carlisle, MD
• Christopher A Carlos-Wallace
• Christopher Anthony Carlos, M.D.
• Claudia Carlos
• David Carlos, BSN RN
• Julieta Jay Carlos, D.M.D.

• Non-emergency Medical Transport (VAN) in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.