Reliable Medical Transport

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

N5490093 Issued in CA

Legal business name

RELIABLE MEDICAL TRANSPORT

Practice address

7317 El Cajon Blvd
La Mesa, CA 91942-7434

Phone

(619) 698-1455

Fax

(619) 460-1743

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Agnes A Gongora

Title

Owner

Phone

(619) 698-1455

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1447500558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 EL CAJON BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-698-1455",
            "fax_number": "619-460-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 EL CAJON BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427434",
            "telephone_number": "619-698-1455",
            "fax_number": "619-460-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "GONGORA",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-698-1455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "CA",
            "license": "N5490093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558414484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclynn Shibuya Reifman, OTR
• Evan Francis Reilly, DPT
• Cielo Reina
• Stephen Lee Reitman, MD
• Reliable Medical Transport
• Lee Hyland Remington-Boone, M.D.
• Zhixian Ren
• William A. Renert, M.D.
• Clarissa Renteria
• Lyndsey Restelli, MSN, RN, CPNP-PC

• Secured Medical Transport (VAN) in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Secured Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.