San Diego Medical Transport, Inc.

Primary specialty

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

Legal business name

SAN DIEGO MEDICAL TRANSPORT, INC.

Practice address

864 34TH Street
San Diego, CA 92102-3310

Phone

(619) 531-8900

Fax

(619) 531-8910

NPI assigned

Dec 2, 2005

Organization subpart

No

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

Authorized official

Name

Misael Leobardo Coronel

Title

Ceo

Phone

(619) 531-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1902880917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 34TH STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023310",
            "telephone_number": "619-531-8900",
            "fax_number": "619-531-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 34TH STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023310",
            "telephone_number": "619-531-8900",
            "fax_number": "619-531-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "CORONEL",
        "authorized_official_first_name": "MISAEL",
        "authorized_official_middle_name": "LEOBARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-531-8900"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01274F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in San Diego, CA
• Providers in San Diego, 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 Aug 14, 2014; 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.