Costa Forward Enterprise Incorporated

Primary specialty

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

Legal business name

COSTA FORWARD ENTERPRISE INCORPORATED

Practice address

1435 4TH St
San Rafael, CA 94901-2847

Phone

(415) 724-7861

Fax

(925) 481-2943

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Aloizio Veronico CostaNPI 1285256081

Title

Owner

Phone

(415) 724-7861

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aloizio Veronico Costa

  • Driver
  • San Rafael, CA
  • NPI 1285256081
  NPD Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1568084283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 MARK TWAIN DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318358",
            "telephone_number": "415-724-7861",
            "fax_number": "925-481-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012847",
            "telephone_number": "415-724-7861",
            "fax_number": "925-481-2943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 Mark Twain Dr",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318358",
            "country_code": "US",
            "telephone_number": "415-724-7861",
            "fax_number": "925-481-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COSTA FORWARD ENTERPRISE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "ALOIZIO",
        "authorized_official_middle_name": "VERONICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-724-7861",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Cordova, M.S. C.C.C.SLP
• James Corniea, PTA
• Manuel Alejandro Correa, AMFT
• Amy Cosby-Frost, LMFT
• Elizabeth Cosentino
• Alison B. Costa, LMFT
• Aloizio Veronico Costa
• Benjamin Pierce Costa, PT
• Rachel Linnea Costamagna
• Marcia Cote, R.D.

• Non-emergency Medical Transport (VAN) in San Rafael, CA
• Providers in San Rafael, 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 May 15, 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.