Organization Active NPI

County Care Transport

  • Non-emergency Medical Transport (VAN)
  • Antioch, CA
National Provider Identifier
1295547487
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COUNTY CARE TRANSPORT
Practice address
3700 Delta Fair Blvd Ste 201B
Antioch, CA 94509-4074
Phone
(510) 937-6900
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Ms. Imogene Speranza Carlos, EMT
Title
Manager
Phone
(510) 937-6900

Specialties & licenses 1

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

Addresses

Primary practice location

3700 Delta Fair Blvd Ste 201B
Antioch, CA 94509-4074

Mailing address

3700 Delta Fair Blvd Ste 201B
Antioch, CA 94509-4074
Phone (510) 937-6900

National Provider Directory

National Provider Directory

Locations

3700 Delta Fair Blvd
Ste 201B
Antioch, CA 94509
Phone (510) 937-6900

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1295547487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE 201B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094074",
            "telephone_number": "510-937-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE 201B",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094074",
            "telephone_number": "510-937-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY CARE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "IMOGENE",
        "authorized_official_middle_name": "SPERANZA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-937-6900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.