Healthcare Provider Details

I. General information

NPI: 1669391983
Provider Name (Legal Business Name): USA TRANSPORT SD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 DIAMOND DR
CHULA VISTA CA
91911-6718
US

IV. Provider business mailing address

591 TELEGRAPH CANYON RD # 426
CHULA VISTA CA
91910-6436
US

V. Phone/Fax

Practice location:
  • Phone: 619-995-5042
  • Fax:
Mailing address:
  • Phone: 619-995-5042
  • 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: MR. JUMER BRYAN GUARIN REBAMONTE
Title or Position: OWNER
Credential:
Phone: 619-995-5042