Organization Active NPI

Smart Medical Transport , LLC

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1598097594
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SMART MEDICAL TRANSPORT , LLC
Doing business as
Smart Medical Transport
Practice address
6640 Lusk Blvd
Suite A207
San Diego, CA 92121-2784
Phone
(858) 246-7767
Fax
(858) 246-7768
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Jorge Ricaborda
Title
President-Ceo
Phone
(619) 954-1124

Specialties & licenses 1

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

Addresses

Primary practice location

6640 Lusk Blvd
Suite A207
San Diego, CA 92121-2784

Mailing address

3802 Rosecrans St
Suite 167
San Diego, CA 92110-3114
Phone (619) 954-1124

Other names 1

  • Smart Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

3802 Rosecrans St
San Diego, CA 92110

6640 Lusk Blvd
Ste A207
San Diego, CA 92121
Phone (858) 246-7767

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1598097594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 ROSECRANS ST",
            "address_2": "SUITE 167",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103114",
            "telephone_number": "619-954-1124",
            "fax_number": "858-246-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 LUSK BLVD",
            "address_2": "SUITE A207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212784",
            "telephone_number": "858-246-7767",
            "fax_number": "858-246-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART MEDICAL TRANSPORT , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "RICABORDA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "619-954-1124"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 3, 2015; 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.