NPIMap

Organization Active NPI

Saferide Eastvale Corporation

  • Non-emergency Medical Transport (VAN)
  • Eastvale, CA
National Provider Identifier
1124388590
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
R-2012-05737 Issued in CA
Legal business name
SAFERIDE EASTVALE CORPORATION
Practice address
6982 Massy Harris Way
Eastvale, CA 92880-3429
Phone
(714) 883-1444
NPI assigned
May 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Reymundo Virtucio Mitra, RN
Title
Partner
Phone
(714) 883-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X R-2012-05737 CA Primary

Addresses

Primary practice location

6982 Massy Harris Way
Eastvale, CA 92880-3429

Mailing address

6982 Massy Harris Way
Eastvale, CA 92880-3429
Phone (714) 883-1444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1124388590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6982 MASSY HARRIS WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803429",
            "telephone_number": "714-883-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6982 MASSY HARRIS WAY",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803429",
            "telephone_number": "714-883-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFERIDE EASTVALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "REYMUNDO",
        "authorized_official_middle_name": "VIRTUCIO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-883-1444",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "R-2012-05737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.