Active NPI
San Diego Medical Services Enterprise, LLC
- Ambulance
- San Diego, CA
National Provider Identifier
1356398978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC
- Practice address
- 10405 San Diego Mission Rd
200
San Diego, CA 92108-2102 - Phone
- (619) 280-6060
- NPI assigned
- May 28, 2006
- Last updated
- Jun 4, 2014
- 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. Scott A Bartos
- Title
- President / Ceo
- Phone
- (480) 606-3525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
10405 San Diego Mission Rd
200
San Diego, CA 92108-2102
Mailing address
PO Box 53518
Phoenix, AZ 85072-3518
Phone (480) 606-3701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590011868 | Other | CA | RR MEDICARE |
| MTE00934F | Medicaid | CA |
Other names 1
- SDMSE Transportation
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba American Medical Response; AMR
- Land Ambulance
- Tucson, AZ
- NPI 1962693697
Member Of
Locations
10405 San Diego Mission Rd
Ste 200
San Diego, CA 92108
Phone (619) 280-6060
10405 San Diego Mission Rd
Ste 201
San Diego, CA 92108
Phone (619) 287-0152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1356398978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53518",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850723518",
"telephone_number": "480-606-3701",
"fax_number": "480-606-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10405 SAN DIEGO MISSION RD",
"address_2": "200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082102",
"telephone_number": "619-280-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "BARTOS",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "480-606-3525",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590011868",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00934F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SDMSE Transportation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
- San Diego Interventional Cardiology AMC
- San Diego Kids First
- San Diego Laboratory Solutions
- San Diego Lasik Institute
- San Diego Medical Consultants Apc
- San Diego Medical Transport, Inc.
- San Diego Mental Health Associates Medical Clinic Inc.
- San Diego Metropolitan Transit System
- San Diego Mobile Podiatry Inc
- San Diego MRI Institute, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.