Falcon Critical Care Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FALCON CRITICAL CARE TRANSPORT, LLC

Doing business as

Falcon Critical Care Transport

Practice address

1220 Concord Ave Ste 370
Concord, CA 94520-4906

Phone

(510) 223-1171

Fax

(510) 223-1172

NPI assigned

Aug 4, 2006

Last updated

Oct 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Coats

Title

Ceo

Phone

(831) 295-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Falcon Critical Care Transport Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1598773624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CONCORD AVE STE 370",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204906",
            "telephone_number": "510-223-1171",
            "fax_number": "510-223-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CONCORD AVE STE 370",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204906",
            "telephone_number": "510-223-1171",
            "fax_number": "510-223-1172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3508 San Pablo Dam Rd",
            "address_purpose": "LOCATION",
            "city": "El Sobrante",
            "state": "CA",
            "postal_code": "948032728",
            "country_code": "US",
            "telephone_number": "510-223-1171",
            "fax_number": "510-223-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FALCON CRITICAL CARE TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-295-3005"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00958F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falcon Critical Care Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Falcon Critical Care Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Faiella, PT, DPT
• Stephani Fairclough
• Richard James Fairley-Hinthorne
• Joanna NA Fajardo, NA
• Sahar Yacoub Fakhouri
• Sarah Lavonnie Falkenberg
• Morgan Ashlee Falkenstrom
• Jennifer Faller
• Albert A. Fam, LCSW
• Family Stress Center

• Land Ambulance in Concord, CA
• Providers in Concord, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.