PROVIDENCE MEDICAL TRANSPORTATION INC.
NPI 1396800157
Non-emergency Medical Transport (VAN) in Redlands, CA

NPI Status: Active since December 22, 2006

Contact Information

1528 CALLE CONSTANCIA
REDLANDS, CA
ZIP 92373
Phone: (909) 798-7356
Fax: (909) 798-0795

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  • Organization
  • Non-emergency Medical Transport (VAN)

About PROVIDENCE MEDICAL TRANSPORTATION INC.

This page provides the complete NPI Profile along with additional information for Providence Medical Transportation Inc., a provider established in Redlands, California operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1396800157 assigned on December 2006. The practitioner's primary taxonomy code is 343900000X with license number MTN01224F (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Leonardo A. Custodio (President)

NPI
1396800157
Provider Name
PROVIDENCE MEDICAL TRANSPORTATION INC.
Entity Type
Organization
Location Address
1528 CALLE CONSTANCIA REDLANDS, CA 92373
Location Phone
(909) 798-7356
Location Fax
(909) 798-0795
Mailing Address
1528 CALLE CONSTANCIA REDLANDS, CA 92373
Mailing Phone
(909) 798-7356
Mailing Fax
(909) 798-0795
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
License No.
MTN01224F
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEONARDO A. CUSTODIO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 798-7356

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MTN01224FMEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396800157
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231861600110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 6 + 0 + 0 + 1 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1396800157 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396800157, enumerated as an "organization" on December 22, 2006.

The provider is located at 1528 CALLE CONSTANCIA REDLANDS, CA 92373 and the phone number is (909) 798-7356.

Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.