Organization Active NPI

Care Medical Transportation, Inc.

  • Land Ambulance
  • San Diego, CA
National Provider Identifier
1558472944
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MTE00917FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Transporta2 organizations share this tax ID, including this one

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

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.

Verify at the official NPI Registry.