Vista Sereno Transport Services LLC

Primary specialty

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

Legal business name

VISTA SERENO TRANSPORT SERVICES LLC

Practice address

2725 Vista Sereno CT
Lemon Grove, CA 91945-3436

Phone

(619) 405-3586

Fax

(619) 467-7289

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Dominique John Orca Mase, RN

Title

Manager

Phone

(619) 405-3586

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1285340752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 VISTA SERENO CT",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453436",
            "telephone_number": "619-405-3586",
            "fax_number": "619-467-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 VISTA SERENO CT",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453436",
            "telephone_number": "619-405-3586",
            "fax_number": "619-467-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SERENO TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "MASE",
        "authorized_official_first_name": "DOMINIQUE JOHN",
        "authorized_official_middle_name": "ORCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-405-3586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Velarde
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• Daniela Vidas, MS
• Elizabeth Vidrio
• Christian Rene Villegas, BA
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• Charlotte Anne Wachtler
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• Non-emergency Medical Transport (VAN) in Lemon Grove, CA
• Providers in Lemon Grove, 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 Jan 27, 2023; 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.