Organization Active NPI

Xtra Care Medical Transport, Inc.

  • Non-emergency Medical Transport (VAN)
  • Rancho Cucamonga, CA
National Provider Identifier
1063790111
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
XTRA CARE MEDICAL TRANSPORT, INC.
Practice address
6888 Landriano PL
Rancho Cucamonga, CA 91701-8521
Phone
(909) 972-0311
Fax
(909) 972-0304
NPI assigned
Jul 22, 2011
Last updated
Jul 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Clarissa C Redsar
Title
Chief Executive Officer
Phone
(909) 972-0311

Specialties & licenses 1

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

Addresses

Primary practice location

6888 Landriano PL
Rancho Cucamonga, CA 91701-8521

Mailing address

6888 Landriano PL
Rancho Cucamonga, CA 91701-8521
Phone (909) 972-0311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1063790111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 LANDRIANO PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018521",
            "telephone_number": "909-972-0311",
            "fax_number": "909-972-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 LANDRIANO PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018521",
            "telephone_number": "909-972-0311",
            "fax_number": "909-972-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA CARE MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "REDSAR",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-972-0311"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.