Active NPI
Peninsula Non Emergency Medical Transportation LLC
- Transportation Broker
- Marina, CA
National Provider Identifier
1275262248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Legal business name
- PENINSULA NON EMERGENCY MEDICAL TRANSPORTATION LLC
- Practice address
- 474 Logan Way
Marina, CA 93933-5204 - Phone
- (831) 512-6291
- NPI assigned
- Jun 6, 2022
- 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. Jose R Beltran, JOSE BELTRAN
- Title
- Owner
- Phone
- (831) 512-6291
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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
474 Logan Way
Marina, CA 93933-5204
Mailing address
474 Logan Way
Marina, CA 93933-5204
Phone (831) 512-6291
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.
-
- Driver
- Marina, CA
- NPI 1114665155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1275262248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 LOGAN WAY",
"city": "MARINA",
"state": "CA",
"postal_code": "939335204",
"telephone_number": "831-512-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 LOGAN WAY",
"city": "MARINA",
"state": "CA",
"postal_code": "939335204",
"telephone_number": "831-512-6291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENINSULA NON EMERGENCY MEDICAL TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "BELTRAN",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "831-512-6291",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JOSE BELTRAN"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.