Care Wagon Medical Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

201208110344 Issued in CA

Legal business name

CARE WAGON MEDICAL TRANSPORT LLC

Practice address

3579 Goldenrod Ave
Rialto, CA 92377-3409

Phone

(909) 428-2273

Fax

(909) 600-7107

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Iris Denby

Title

Owner/Ceo

Phone

(909) 428-2273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1124379300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 N RIVERSIDE AVE",
            "address_2": "SUITE C177",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774685",
            "telephone_number": "909-428-2273",
            "fax_number": "909-600-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 GOLDENROD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773409",
            "telephone_number": "909-428-2273",
            "fax_number": "909-600-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE WAGON MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "DENBY",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-428-2273",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "201208110344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Rialto, CA
• Providers in Rialto, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.