SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC (NPI# 1356398978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356398978 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC |
| Other Organization Name | SDMSE TRANSPORTATION |
| Practice Address |
10405 San Diego Mission Rd 200 San Diego CA 92108-2102 |
| Mailing Address |
Po Box 53518 Phoenix AZ 85072-3518 |
| Practice Telephone | 6192806060 |
| Mailing Telephone | 4806063701 |
| Mailing Fax Number | 4806063677 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | MR. SCOTT A BARTOS (PRESIDENT / CEO) |
| Authorized Official Telephone | 4806063525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RR MEDICARE | 590011868 | 01 |
| CA | MTE00934F | 05 |
| Other Name | Type Code |
|---|---|
| SDMSE Transportation | Other Name - Individual/Organization |
| Street Address |
10405 SAN DIEGO MISSION RD 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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|---|---|---|---|---|
| 1881229128 | Cr Flying Doctors | Ambulance | 1111 6th Ave Ste 300, San Diego, CA 92101-5215 | 2020-03-06 |
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| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1073931028 | United Ambulance Services, Inc | Ambulance | 7579 Convoy Ct, San Diego, CA 92111-1113 | 2014-04-06 |
| 1316365448 | Continental Billing Consulting | Ambulance | 5545 Ocean Gate Ln, San Diego, CA 92154-6488 | 2014-04-05 |
| 1144386111 | Heartland Paramedics-csa 69 County Service Area 69 Ems | Ambulance | 6255 Mission Gorge Rd, San Diego, CA 92120-3505 | 2006-12-27 |
| 1619244910 | American Medical Response of San Diego, Inc. | Ambulance | 8808 Balboa Ave Ste 150, San Diego, CA 92123 | 2011-11-30 |
| 1871813279 | Shoreline Companies, LLC | Ambulance | 4901 Morena Blvd, Suite 208b, San Diego, CA 92117-3423 | 2010-06-08 |
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| 1194343277 | Life Flight, Inc. | Ambulance | 2006 Palomar Airport Rd Ste 210, Carlsbad, CA 92011-4419 | 2020-07-06 |
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| 1558981787 | Sonoma County Fire District | Ambulance | 8200 Old Redwood Hwy, Windsor, CA 95492-9217 | 2020-04-17 |
| 1942829197 | Coast2coast Public Safety Corporation | Ambulance | 575 Birch Ct Ste J, Colton, CA 92324-3248 | 2020-04-08 |
| 1942848031 | American Canyon Fire Protection District | Ambulance | 911 Donaldson Way E, American Canyon, CA 94503-3191 | 2019-12-19 |
| 1336786227 | Pioneer Fire Protection District | Ambulance | 7061 Mount Aukum Rd, Somerset, CA 95684-9568 | 2019-12-10 |
| 1114577160 | Go Green Ambulance Corp | Ambulance | 7111 Winnetka Ave Ste 6, Winnetka, CA 91306-3673 | 2019-09-11 |
| 1194373431 | County of Los Angeles | Ambulance | 1320 N Eastern Ave, Los Angeles, CA 90063-3244 | 2019-08-29 |
| 1689228058 | Trinity Ambulance San Diego, Inc | Ambulance | 2563 Mast Way Ste 203, Chula Vista, CA 91914-4539 | 2019-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.