Organization Active NPI

Crescent City Care Transportation

  • Non-emergency Medical Transport (VAN)
  • Vista, CA
National Provider Identifier
1962155705
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CRESCENT CITY CARE TRANSPORTATION
Practice address
450 S Melrose Dr Ste 100
Vista, CA 92081-6664
Phone
(760) 798-6443
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Damaria Antionette JohnsonNPI 1508476730
Title
Owner
Phone
(213) 910-9174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

450 S Melrose Dr Ste 100
Vista, CA 92081-6664

Mailing address

450 S Melrose Dr Ste 100
Vista, CA 92081-6664

Other names 1

  • Crescent City Care Transportation Doing business as

National Provider Directory

National Provider Directory

Locations

450 S Melrose Dr
Ste 100
Vista, CA 92081
Phone (760) 650-2290

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1962155705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S MELROSE DR STE 100",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S MELROSE DR STE 100",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816664",
            "telephone_number": "760-798-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CITY CARE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMARIA",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-910-9174"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent City Care Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crescent City Care Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.