Atlantic Express Co Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A33408 Issued in CA

Legal business name

ATLANTIC EXPRESS CO INC

Practice address

4252 Bonita Rd
Suite 82
Bonita, CA 91902-1420

Phone

(619) 829-1271

NPI assigned

Jul 30, 2009

Organization subpart

No

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

Authorized official

Name

Brian J Carrie

Title

Ceo

Phone

(619) 829-1271

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1376774935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 BONITA RD",
            "address_2": "SUITE 82",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 BONITA RD",
            "address_2": "SUITE 82",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021420",
            "telephone_number": "619-829-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC EXPRESS CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "CARRIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-829-1271"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A33408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Bonita, CA
• Providers in Bonita, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.