Organization Active NPI

San Diego Medical Services Enterprise, LLC

  • Ambulance
  • San Diego, CA
National Provider Identifier
1356398978
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590011868OtherCARR MEDICARE
MTE00934FMedicaidCA

Other names 1

  • SDMSE Transportation Other name

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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

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.

Verify at the official NPI Registry.