MEDICARE: SMS 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	343900000X	Non-emergency Medical Transport (VAN)	MTN00817F	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MTN00817F	OTHER	CA	ALLIED HEALTH-05

General Provider Information

NPI Number	:	1629111398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMS TRANSPORTATION

Provider Business Mailing Address
First Line	:	865 S FIGUEROA ST STE 2750
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2627
Country	:	US
Telephone Number	:	760-346-3790
Fax Number	:	760-346-7052

Provider Business Practice Location Address
First Line	:	83912 AVENUE 45
Second Line	:	SUITE 10
City	:	INDIO
State	:	CA
Zip	:	92201-7351
Country	:	US
Telephone Number	:	760-347-3900
Fax Number	:	760-346-7052

Authorized Official
Title or Position	:	CFO
Name	:	DANIELLE WILTZ
Credential	:
Telephone Number	:	213-489-5367

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	10/13/2016

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Directions to “SMS TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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