ELLEN MEDICAL TRANSPORT (NPI# 1982125605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982125605 |
| Entity Type | Organization |
| Organization Name | ELLEN MEDICAL TRANSPORT |
| Other Organization Name | NORTHSIDE MEDICAL TRANSPORT |
| Practice Address |
4587 Winona Ave #5 San Diego CA 92115 |
| Mailing Address |
4587 Winona Ave Apt 5 San Diego CA 92115-3339 |
| Practice Telephone | (619) 315-1062 |
| Mailing Telephone | 6193151062 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |
| Authorized Official Name | DAWIT FESSHAYE (C.E.O) |
| Authorized Official Telephone | 6193151062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 2017007484 | CA | Transportation Services |
| Other Name | Type Code |
|---|---|
| Northside Medical Transport | Doing Business As Name - Organization |
| Street Address |
4587 WINONA AVE #5 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| 1588048730 | Gregory Nixon | Counselor | 6244 El Cajon Blvd., San Diego, CA 92115 | 2015-07-17 |
| Find all providers in zip 92115 | ||||
| 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 | ||||
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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.