Healthcare Provider Details

I. General information

NPI: 1992685788
Provider Name (Legal Business Name): M&T MEDICAL TRANSPORT OF CALIFORNIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 BONITA DR
APTOS CA
95003-4858
US

IV. Provider business mailing address

4083 SAN RAMON WAY
SAN JOSE CA
95111
US

V. Phone/Fax

Practice location:
  • Phone: 408-460-1827
  • Fax:
Mailing address:
  • Phone: 408-460-1827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KUMBA MACARTHY FEELY
Title or Position: OWNER
Credential:
Phone: 408-460-1827