Organization Active NPI

Goodfaith Medical Transportation Co., Inc

  • Non-emergency Medical Transport (VAN)
  • San Bernardino, CA
National Provider Identifier
1659487171
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN00529F Issued in CA
Legal business name
GOODFAITH MEDICAL TRANSPORTATION CO., INC
Practice address
820 N E St
San Bernardino, CA 92410-2929
Phone
(909) 888-5818
Fax
(909) 888-5166
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Ms. Consuelo Maylad
Title
President
Phone
(909) 888-5818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN00529F CA Primary

Addresses

Primary practice location

820 N E St
San Bernardino, CA 92410-2929

Mailing address

820 N E St
San Bernardino, CA 92410-2929

Other identifiers 1

IdentifierTypeStateIssuer
MTN00529FMedicaidCA

National Provider Directory

National Provider Directory

Locations

820 N E St
San Bernardino, CA 92410
Phone (909) 888-5818

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1659487171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102929",
            "telephone_number": "909-888-5818",
            "fax_number": "909-888-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODFAITH MEDICAL TRANSPORTATION CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "MAYLAD",
        "authorized_official_first_name": "CONSUELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-888-5818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN00529F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN00529F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.