GOLDEN AGE MEDICAL TRANSPORTATION (NPI# 1649311671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649311671 |
| Entity Type | Organization |
| Organization Name | GOLDEN AGE MEDICAL TRANSPORTATION |
| Practice Address |
11110 Red Cedar Dr San Diego CA 92131-1310 |
| Practice Telephone | 8586899770 |
| Practice Fax Number | 6193371499 |
| Mailing Telephone | 8586899770 |
| Mailing Fax Number | 6193371499 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2014-04-07 |
| Authorized Official Name | MR. GRIGORY BRAVERMAN (GENERAL PARTNER) |
| Authorized Official Telephone | 3233335383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 643533-92 | CA | Transportation Services |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 64353392 | CA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MTN01191F | 05 |
| Street Address |
11110 RED CEDAR DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92131-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093921900 | Ca Reliable Medical Systems, Inc | Clinic/Center | 11110 Red Cedar Dr, San Diego, CA 92131-1310 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416965 | Susan Cannon | Behavior Technician | 10680 Treena Street Suite 170, San Diego, CA 92131 | 2020-01-14 |
| 1265929442 | Lydia Besterfeldt | Registered Nurse | 9967 Mesa Madera Dr, San Diego, CA 92131 | 2018-04-13 |
| 1235649690 | Mac Dental Corporation | Oral & Maxillofacial Surgery | 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 | 2017-10-11 |
| 1679019087 | Karyn Rose Giaquinto Fistonich | Assistant Behavior Analyst | 10060 Old Grove Road, San Diego, CA 92131 | 2017-01-09 |
| 1710439559 | Fred Finch Youth Center Cares | Psychologist | 10174 Old Grove Road, Sutie 100, San Diego, CA 92131 | 2016-10-27 |
| 1346647153 | Neurosound, Inc. | Specialist | 10755 Scripps Poway Parkway, Suite 581, San Diego, CA 92131 | 2014-11-21 |
| 1679985329 | Catherine Margaret Myers | Counselor | 10065 Old Grove Road, Suite 200, San Diego, CA 92131 | 2014-05-29 |
| 1225399512 | Sarah Merrill | Family Medicine | 9909 Mira Mesa Blvd Ste 200, San Diego, CA 92131 | 2012-06-03 |
| 1386964997 | Nicole Jacaruso Skinner | Physical Therapist | 10555 Pine Falls Ct, San Diego, CA 92131 | 2010-06-04 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| Find all providers in zip 92131 | ||||
| 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 |
|---|---|---|---|---|
| 1275132730 | Robbie & Co Limited Liability Company | Non-emergency Medical Transport (VAN) | 4864 Charles Lewis Way, San Diego, CA 92102-4775 | 2020-10-25 |
| 1902413610 | Curbside Handi-transport LLC | Non-emergency Medical Transport (VAN) | 13880 Stoney Gate Pl, San Diego, CA 92128-3655 | 2020-09-26 |
| 1689290470 | Junior Wakefield | Non-emergency Medical Transport (VAN) | 4329 Central Ave Apt 2, San Diego, CA 92105-1158 | 2020-06-17 |
| 1902442254 | Ride2care | Non-emergency Medical Transport (VAN) | 6197 University Ave Unit 2, San Diego, CA 92115-5720 | 2019-11-21 |
| 1215585492 | Happy2help Transportation | Non-emergency Medical Transport (VAN) | 237 50th St Apt 27, San Diego, CA 92102-5022 | 2019-08-30 |
| 1124680467 | Mohamed Said | Non-emergency Medical Transport (VAN) | 3869 50th St, San Diego, CA 92105-3014 | 2019-07-08 |
| 1639731292 | Abdulahi Ade Noor | Non-emergency Medical Transport (VAN) | 3077 39th St, San Diego, CA 92105-4012 | 2019-07-03 |
| 1255991774 | King One Transportation LLC | Non-emergency Medical Transport (VAN) | 1925 Euclid Ave Ste 203, San Diego, CA 92105-5362 | 2019-06-17 |
| 1710544473 | Lynx Transportation, LLC | Non-emergency Medical Transport (VAN) | 5348 University Ave # 210-1, San Diego, CA 92105-8025 | 2019-05-28 |
| 1194382465 | Staride Inc | Non-emergency Medical Transport (VAN) | 6189 University Ave, San Diego, CA 92115-5720 | 2019-05-22 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on GOLDEN AGE MEDICAL TRANSPORTATION.
| 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.