Organization Active NPI

Southbay Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Carson, CA
National Provider Identifier
1871297689
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SOUTHBAY TRANSPORTATION INC
Practice address
302 E Carson St Ste 101
Carson, CA 90745-2710
Phone
(424) 704-5991
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Raquel Villarin San Luis
Title
Owner/Manager
Phone
(310) 525-0850

Specialties & licenses 1

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

Addresses

Primary practice location

302 E Carson St Ste 101
Carson, CA 90745-2710

Mailing address

302 E Carson St Ste 101
Carson, CA 90745-2710
Phone (424) 704-5991

National Provider Directory

National Provider Directory

Locations

302 E Carson St
Ste 101
Carson, CA 90745
Phone (424) 704-5991

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1871297689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E CARSON ST STE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452710",
            "telephone_number": "424-704-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E CARSON ST STE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452710",
            "telephone_number": "424-704-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "SAN LUIS",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "VILLARIN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "310-525-0850"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.