Organization Active NPI

Mission Medical Transport

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1598069759
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MISSION MEDICAL TRANSPORT
Practice address
1988 Raedel CT
San Diego, CA 92154-2012
Phone
(619) 423-2108
Fax
(619) 429-3512
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Mr. Juan Carmen Magdaleno Sr.
Title
Owner
Phone
(619) 498-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1988 Raedel CT
San Diego, CA 92154-2012

Mailing address

1988 Raedel CT
San Diego, CA 92154-2012
Phone (619) 423-2108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1598069759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 RAEDEL CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542012",
            "telephone_number": "619-423-2108",
            "fax_number": "619-429-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1988 RAEDEL CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921542012",
            "telephone_number": "619-423-2108",
            "fax_number": "619-429-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MAGDALENO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-498-0138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 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.