Organization Active NPI

Peninsula Non Emergency Medical Transportation LLC

  • Transportation Broker
  • Marina, CA
National Provider Identifier
1275262248
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
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

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Mr. Jose R Beltran, JOSE BELTRANNPI 1114665155
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.