Active NPI
Stat Medical Transport, LLC
- Non-emergency Medical Transport (VAN)
- El Centro, CA
National Provider Identifier
1306222583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- STAT MEDICAL TRANSPORT, LLC
- Practice address
- 497 S 4TH St
El Centro, CA 92243-3003 - Phone
- (760) 592-4181
- NPI assigned
- Aug 10, 2015
- 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
- Abraham Maldonado
- Title
- Partner
- Phone
- (760) 909-7244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
497 S 4TH St
El Centro, CA 92243-3003
Mailing address
PO Box 59116
Norwalk, CA 90652-0116
Phone (760) 592-4181
National Provider Directory
National Provider DirectoryLocations
497 S 4th St
El Centro, CA 92243
Phone (760) 592-4181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541116800000",
"number": "1306222583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59116",
"city": "NORWALK",
"state": "CA",
"postal_code": "906520116",
"telephone_number": "760-592-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 S 4TH ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433003",
"telephone_number": "760-592-4181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT MEDICAL TRANSPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-10",
"last_updated": "2018-11-02",
"status": "A",
"authorized_official_last_name": "MALDONADO",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "760-909-7244"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.