South Bay Medical Transport LLC

Primary specialty

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

Legal business name

SOUTH BAY MEDICAL TRANSPORT LLC

Practice address

2784 Homestead Rd # 101
Santa Clara, CA 95051-5353

Phone

(408) 826-8165

Fax

(408) 454-6276

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Tanvir Ali

Title

Chief Executive Officer

Phone

(650) 743-0616

Specialties & licenses 1

Addresses

Other names 1

• Peoples Medical Transport Doing business as

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585353600000",
    "number": "1871148817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 HOMESTEAD RD # 101",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515353",
            "telephone_number": "408-826-8165",
            "fax_number": "408-454-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 HOMESTEAD RD # 101",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515353",
            "telephone_number": "408-826-8165",
            "fax_number": "408-454-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "TANVIR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-743-0616"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peoples Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Isabelle Soriano, MD
• Raul Jesus Soto
• Sourcewise
• Sourcewise
• South Bay Home Care LLC
• South Bay Sports and Preventive Medicine Associates, Inc.
• South Valley Resources, Inc.
• South Valley Resources, Inc.
• Allegra Spalding
• Jillian Leigh Spaulding, AUD

• Non-emergency Medical Transport (VAN) in Santa Clara, CA
• Providers in Santa Clara, 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 Mar 28, 2020; 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.