Precious Cargo Medical Transportation, LLC.

Primary specialty

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

License

B3645940 Issued in CA

Legal business name

PRECIOUS CARGO MEDICAL TRANSPORTATION, LLC.

Practice address

22573 Barton Rd
Grand Terrace, CA 92313-5203

Phone

(909) 430-1917

NPI assigned

Apr 26, 2017

Last updated

Apr 26, 2017By 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

Mr. Anthony Peniel CortezNPI 1760915029

Title

Ceo

Phone

(909) 430-1917

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, and the practitioner matching its NPPES authorized official.

• Anthony Cortez

  • Non-emergency Medical Transport (VAN)
  • Grand Terrace, CA
  • NPI 1760915029
  NPD (past) Authorized official

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1619402740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22573 BARTON RD",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135203",
            "telephone_number": "909-430-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22573 BARTON RD",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135203",
            "telephone_number": "909-430-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS CARGO MEDICAL TRANSPORTATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PENIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-430-1917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "B3645940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Grand Terrace, CA
• Providers in Grand Terrace, 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 Apr 26, 2017; 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.