SSJ Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

MTN01007F Issued in CA

Legal business name

SSJ MEDICAL TRANSPORT

Practice address

8262 Southport Dr
Huntington Beach, CA 92646-4441

Phone

(714) 749-7961

Fax

(714) 969-5630

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Aida Maria Hipolito, RETIRED RN

Title

Owner

Phone

(714) 749-7961

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457415382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 SOUTHPORT DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464441",
            "telephone_number": "714-749-7961",
            "fax_number": "714-969-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 SOUTHPORT DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464441",
            "telephone_number": "714-749-7961",
            "fax_number": "714-969-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSJ MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIPOLITO",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-749-7961",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RETIRED RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01007F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01007F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.