SUPREME MEDICAL TRANSPORT INC (NPI# 1902305287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902305287 |
| Entity Type | Organization |
| Organization Name | SUPREME MEDICAL TRANSPORT INC |
| Other Organization Name | SUPREME MEDICAL TRANSPORT |
| Practice Address |
3130 Bonita Rd Ste 200c Chula Vista CA 91910-3263 |
| Practice Telephone | 6195088560 |
| Practice Fax Number | 6196620567 |
| Mailing Telephone | 6195088560 |
| Mailing Fax Number | 6196620567 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | MR. JAIME RUBIO (PRESIDENT) |
| Authorized Official Telephone | 6195088560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | N770 | CA | Transportation Services |
| Other Name | Type Code |
|---|---|
| Supreme Medical Transport | Doing Business As Name - Organization |
| Street Address |
3130 BONITA RD STE 200C |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-3263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911582 | National Transportation LLC | Non-emergency Medical Transport (VAN) | 333 H St Ste 5000, Chula Vista, CA 91910-5561 | 2020-01-21 |
| 1184276172 | Asmerom Gebriel | Non-emergency Medical Transport (VAN) | 1794 Picket Fence Dr, Chula Vista, CA 91915-1859 | 2019-07-10 |
| 1649741547 | Race Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 2471 Main St Ste 23, Chula Vista, CA 91911-4657 | 2018-12-17 |
| 1841678679 | J&j Association Inc | Non-emergency Medical Transport (VAN) | 1939 Caminito De La Cruz, Chula Vista, CA 91913-3925 | 2015-05-13 |
| 1366860207 | Esmeralda Chavez | Non-emergency Medical Transport (VAN) | 3160 Bonita Rd Apt 123, Chula Vista, CA 91910-3269 | 2014-03-28 |
| 1033391537 | Hariz Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 1014 Oleander Ave, Chula Vista, CA 91911-2532 | 2007-11-27 |
| 1598953671 | Ridgeway Transportation LLC | Non-emergency Medical Transport (VAN) | 1251 3rd Ave Ste 202, Chula Vista, CA 91911-3261 | 2007-10-14 |
| 1316144017 | Hilltop Medical Transport Inc | Non-emergency Medical Transport (VAN) | 315 Calle La Quinta, Chula Vista, CA 91914-4423 | 2007-06-27 |
| 1881812089 | Valley Medical Transport, LLC. | Non-emergency Medical Transport (VAN) | 2471 Main St Ste 16, Chula Vista, CA 91911-4657 | 2007-04-23 |
| 1700951340 | Community Medical Transport | Non-emergency Medical Transport (VAN) | 1020 Mount Whitney Rd, Chula Vista, CA 91913-2850 | 2006-11-21 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on SUPREME MEDICAL TRANSPORT INC.
| 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.