Organization Active NPI

Safeway Transportation

  • Non-emergency Medical Transport (VAN)
  • Colton, CA
National Provider Identifier
1063100576
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAFEWAY TRANSPORTATION
Practice address
1421 E Cooley Dr Ste 3
Colton, CA 92324-3979
Phone
(951) 376-6776
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmad Farha
Title
Owner
Phone
(951) 376-6776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1421 E Cooley Dr Ste 3
Colton, CA 92324-3979

Mailing address

21318 Townsendia Ave
Moreno Valley, CA 92557-8632
Phone (951) 376-6776

National Provider Directory

National Provider Directory

Locations

1421 E Cooley Dr
Ste 3
Colton, CA 92324
Phone (951) 376-6776

1542 Orange St
Unit B
Redlands, CA 92374

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1063100576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21318 TOWNSENDIA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925578632",
            "telephone_number": "951-376-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E COOLEY DR STE 3",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243979",
            "telephone_number": "951-376-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "FARHA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-376-6776"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.