Supreme Medical Transport Inc

Primary specialty

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

License

N770 Issued in CA

Legal business name

SUPREME MEDICAL TRANSPORT INC

Practice address

3130 Bonita Rd Ste 200C
Chula Vista, CA 91910-3263

Phone

(619) 508-8560

Fax

(619) 662-0567

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jaime Rubio

Title

President

Phone

(619) 508-8560

Specialties & licenses 1

Addresses

Other names 1

• Supreme Medical Transport Doing business as

Locations

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1902305287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 BONITA RD STE 200C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103263",
            "telephone_number": "619-508-8560",
            "fax_number": "619-662-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 BONITA RD STE 200C",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103263",
            "telephone_number": "619-508-8560",
            "fax_number": "619-662-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-508-8560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "N770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supreme Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Chula Vista, CA
• Providers in Chula Vista, 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 May 20, 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.