GOLDEN AGE MEDICAL TRANSPORTATION
NPI 1649311671
Non-emergency Medical Transport (VAN) in San Diego, CA

Active since February 11, 2007
11110 RED CEDAR DR, SAN DIEGO, CA 92131(858) 689-9770(619) 337-1499 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Golden Age Medical Transportation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOLDEN AGE MEDICAL TRANSPORTATION (NPI 1649311671) is a healthcare organization registered as a non-emergency medical transport (van) in San Diego, California and active in the NPI registry since February 2007. The organization lists Grigory Braverman, General Partner, as its authorized official.

NPPES Registry Identity

NPI1649311671
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NameGOLDEN AGE MEDICAL TRANSPORTATION
Location Address11110 RED CEDAR DRSan Diego, CA 92131-1310
Mailing Address11110 Red Cedar DrSan Diego, CA 92131-1310 · (858) 689-9770 · Fax (619) 337-1499
Fax(619) 337-1499
Organization SubpartNo
Authorized OfficialGrigory BravermanGeneral Partner · (323) 333-5383
Enumeration DateFebruary 11, 2007
Last NPPES UpdateApril 7, 2014
NPI 1649311671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Licenses Licensed in CA · 64353392 Licensed in CA · 643533-92
Definition

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.

11110 RED CEDAR DR, San Diego, CA 92131

Other Identifiers 2

MedicaidMTN01191FCA
Medicare UPINMTN01191FCA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Day Care)
11110 RED CEDAR DR
SAN DIEGO, CA 92131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Golden Age Medical Transportation's NPI number?

The NPI number for Golden Age Medical Transportation is 1649311671. It was assigned to this organization in the NPPES registry on February 11, 2007.

Where is Golden Age Medical Transportation located?

Golden Age Medical Transportation is located at 11110 Red Cedar Dr, San Diego, CA 92131. The listed phone number is (858) 689-9770.

What is Golden Age Medical Transportation's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Golden Age Medical Transportation was last updated on April 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.