Organization Active NPI

Medical Logistics Management Inc.

  • Air Ambulance
  • Chula Vista, CA
National Provider Identifier
1699093765
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
C2993181 Issued in CA
Legal business name
MEDICAL LOGISTICS MANAGEMENT INC.
Doing business as
AirEvac International
Practice address
2082 Otay Lakes Rd Ste 202
Chula Vista, CA 91913-1367
Phone
(619) 754-6755
Fax
(619) 330-4551
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Authorized official

Name
Adrian Lara
Title
Director
Phone
(619) 754-6755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X C2993181 CA Primary

Addresses

Primary practice location

2082 Otay Lakes Rd Ste 202
Chula Vista, CA 91913-1367

Mailing address

2082 Otay Lakes Rd Ste 202
Chula Vista, CA 91913-1367
Phone (619) 754-6755

Other names 1

  • AirEvac International Doing business as

National Provider Directory

National Provider Directory

Locations

3130 Bonita Rd
Chula Vista, CA 91910
Phone (619) 636-0909

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612569600000",
    "number": "1699093765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 OTAY LAKES RD STE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131367",
            "telephone_number": "619-754-6755",
            "fax_number": "619-330-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2082 OTAY LAKES RD STE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131367",
            "telephone_number": "619-754-6755",
            "fax_number": "619-330-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LOGISTICS MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-754-6755"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "CA",
            "license": "C2993181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AirEvac International",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AirEvac International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; 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.