Active NPI
Joel Caling Samatra
- Non-emergency Medical Transport (VAN)
- South San Francisco, CA
National Provider Identifier
1891277596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 4111054
- Practice address
- 800 Memorial Dr Apt 45
South San Francisco, CA 94080-3309 - Phone
- (650) 303-5619
- NPI assigned
- Aug 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 4111054 | CA | Primary |
Addresses
Primary practice location
800 Memorial Dr Apt 45
South San Francisco, CA 94080-3309
Mailing address
800 Memorial Dr Apt 45
South San Francisco, CA 94080-3309
Phone (650) 303-5619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-4490608 | Other | CA | IRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4111054 | CA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1891277596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEMORIAL DR APT 45",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803309",
"telephone_number": "650-303-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEMORIAL DR APT 45",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803309",
"telephone_number": "650-303-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMATRA",
"first_name": "JOEL",
"middle_name": "CALING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "4111054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "82-4490608",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.