MEDICARE: CAREWISE TRANSPORT LLC

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)

General Provider Information

NPI Number	:	1710852447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREWISE TRANSPORT LLC

Provider Business Mailing Address
First Line	:	845 15TH ST STE 103
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-8098
Country	:	US
Telephone Number	:	619-317-5342
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 15TH ST STE 103
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-8098
Country	:	US
Telephone Number	:	619-317-5342
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMED OSMAN MOHAMED
Credential	:
Telephone Number	:	619-317-5342

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	10/10/2025

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