FALCON CRITICAL CARE TRANSPORT, LLC (NPI# 1598773624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598773624 |
| Entity Type | Organization |
| Organization Name | FALCON CRITICAL CARE TRANSPORT, LLC |
| Other Organization Name | FALCON CRITICAL CARE TRANSPORT |
| Practice Address |
3508 San Pablo Dam Rd El Sobrante CA 94803-2728 |
| Practice Telephone | 5102231171 |
| Practice Fax Number | 5102231172 |
| Mailing Telephone | 5102231171 |
| Mailing Fax Number | 5102231172 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | MR. BRIAN MICHAEL JOHNSON (COO) |
| Authorized Official Telephone | 5102231171 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MTE00958F | 05 |
| Other Name | Type Code |
|---|---|
| Falcon Critical Care Transport | Doing Business As Name - Organization |
| Street Address |
3508 SAN PABLO DAM RD |
| City | EL SOBRANTE |
| State | CA |
| Zip Code | 94803-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680446 | Andrew Jaejun Lee | Acupuncturist | 3980 San Pablo Dam Rd Ste 205, El Sobrante, CA 94803 | 2018-05-21 |
| 1104343458 | Kayla Simone Fields | Counselor | 4892 San Pablo Dam Road, El Sobrante, CA 94803 | 2017-08-28 |
| 1104353101 | Paula Jean Armstrong | Marriage & Family Therapist | 754 El Centro Rd, El Sobrante, CA 94803 | 2017-05-22 |
| 1932538121 | Wayne Matecki | Acupuncturist | 448 Valley View Road Suite B, El Sobrante, CA 94803 | 2013-11-07 |
| 1093937617 | Francine C. Manuel | Physical Therapist | 627 El Centro Road, El Sobrante, CA 94803 | 2007-05-03 |
| 1144362955 | Damon Garfield Whitaker | Counselor | 3535 El Portial Dr. B203, El Sobrante, CA 94803 | 2007-02-12 |
| 1457841058 | Maria Sanchez Madlansacay | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2018-05-18 |
| 1801242110 | Omari Marzine Hudson | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-05-05 |
| 1891154431 | Nelly Sarahy Hernandez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-02-10 |
| 1356627814 | Claudia Adriana Martinez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2011-10-28 |
| Find all providers in zip 94803 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
| City | EL SOBRANTE |
| Zip Code | 94803 |
Please comment or provide details below to improve the information on FALCON CRITICAL CARE TRANSPORT, LLC.
| 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.