Active NPI
Afshin Mirbolooki
- Non-emergency Medical Transport (VAN)
- Riverside, CA
National Provider Identifier
1104532308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 3610 Central Ave Ste 400
Riverside, CA 92506-5907 - Phone
- (951) 899-0048
- Fax
- (951) 900-1614
- NPI assigned
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3610 Central Ave Ste 400
Riverside, CA 92506-5907
Mailing address
3610 Central Ave Ste 400
Riverside, CA 92506-5907
Phone (951) 899-0048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Moto, LLC | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Riverside, CA
- NPI 1902512114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677888000000",
"number": "1104532308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 CENTRAL AVE STE 400",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925065907",
"telephone_number": "951-899-0048",
"fax_number": "951-900-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 CENTRAL AVE STE 400",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925065907",
"telephone_number": "951-899-0048",
"fax_number": "951-900-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRBOLOOKI",
"first_name": "AFSHIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-03-04",
"certification_date": "2023-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.