MEDICARE: COAST TO COAST MEDICAL TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	342000000X	Transportation Network Company
3	343900000X	Non-emergency Medical Transport (VAN)	3973384	CA
4	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1356888978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COAST TO COAST MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	1130 E CLARK AVE STE 150 BOX 148
Second Line	:
City	:	ORCUTT
State	:	CA
Zip	:	93455
Country	:	US
Telephone Number	:	805-734-0212
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 E CLARK AVE
Second Line	:	STE 150 BOX 148
City	:	ORCUTT
State	:	CA
Zip	:	93455-5178
Country	:	US
Telephone Number	:	805-734-0212
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NANCY CRAWFORD
Credential	:
Telephone Number	:	805-717-1060

Provider Enumeration Date	:	01/20/2017
Last Update Date	:	08/01/2024

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Directions to “COAST TO COAST MEDICAL TRANSPORTATION ” Practice Location

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