Provider Demographics
NPI:1558472944
Name:CARE MEDICAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:CARE MEDICAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-653-4520
Mailing Address - Street 1:1801 ORANGE TREE LN
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4589
Mailing Address - Country:US
Mailing Address - Phone:858-653-4520
Mailing Address - Fax:858-444-1557
Practice Address - Street 1:9655 VIA EXCELENCIA
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-4555
Practice Address - Country:US
Practice Address - Phone:858-653-4520
Practice Address - Fax:858-444-1557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00917FMedicaid
CAMTE00917FMedicaid