Organization Active NPI

TLC Medical Transport LLC

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1730323189
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TLC MEDICAL TRANSPORT LLC
Doing business as
TLC Medical Transport
Practice address
6312 Riverdale St
San Diego, CA 92120-3310
Phone
(619) 284-7433
Fax
(619) 284-7437
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Douglas Sweeney
Title
Operations Manager
Phone
(619) 284-7433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X
Non-emergency Medical Transport (VAN) 343900000X CA Primary

Addresses

Primary practice location

6312 Riverdale St
San Diego, CA 92120-3310

Mailing address

6312 Riverdale St
San Diego, CA 92120-3310
Phone (619) 284-7433

Other identifiers 1

IdentifierTypeStateIssuer
380674OtherCAMEDI-CAL

Other names 1

  • TLC Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

6312 Riverdale St
San Diego, CA 92120
Phone (619) 284-7433

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1730323189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 RIVERDALE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203310",
            "telephone_number": "619-284-7433",
            "fax_number": "619-284-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 RIVERDALE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203310",
            "telephone_number": "619-284-7433",
            "fax_number": "619-284-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "619-284-7433"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "380674",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC 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 May 29, 2019; 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.