Active NPI
Care Medical Transportation, Inc.
- Land Ambulance
- San Diego, CA
National Provider Identifier
1558472944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CARE MEDICAL TRANSPORTATION, INC.
- Practice address
- 9655 Via Excelencia
San Diego, CA 92126-4555 - Phone
- (858) 653-4520
- Fax
- (858) 444-1557
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 8, 2024
- 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
- Divina Enal
- Title
- Executive Director
- Phone
- (858) 653-4520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
9655 Via Excelencia
San Diego, CA 92126-4555
Mailing address
1801 Orange Tree LN
Redlands, CA 92374-4589
Phone (858) 653-4520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00917F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120322000212 | CA | Part B Supplier - Ambulance Service Supplier | 0042470460 | Practice locations: San Diego, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Care Medical Transporta
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1801 Orange Tree Ln
Redlands, CA 92374
1801 Orange Tree Ln
Ste 140
Redlands, CA 92374
9655 Via Excelencia
San Diego, CA 92126
Phone (858) 653-4520
9770 Candida St
San Diego, CA 92126
Phone (858) 653-4520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1558472944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 ORANGE TREE LN",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744589",
"telephone_number": "858-653-4520",
"fax_number": "858-444-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9655 VIA EXCELENCIA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264555",
"telephone_number": "858-653-4520",
"fax_number": "858-444-1557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE MEDICAL TRANSPORTATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "ENAL",
"authorized_official_first_name": "DIVINA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "858-653-4520"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00917F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Care First Mobile Medical Group Inc
- Care First Transportation LLC
- Care Flight International Inc (care flight international llc)
- Care M.T.
- Care M.T.
- Care RX Inc (Care Pharmacy)
- Care Service Workforce Apprenticeship Program
- Care With Dignity Healthcare (Care With Dignity Convalescent Hospital)
- Care With Dignity Healthcare, Inc. (Care With Dignity Convalescent Hospital)
- Care7 Transport Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.