Organization Active NPI

Extra Mile Care Transportation

  • Non-emergency Medical Transport (VAN)
  • Perris, CA
National Provider Identifier
1124659065
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EXTRA MILE CARE TRANSPORTATION
Practice address
3366 Evening Mist LN
Perris, CA 92571-3760
Phone
(951) 349-8760
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Celso Rios Martinez, TRANSPORTATIONNPI 1386286722
Title
Owner
Phone
(951) 349-8760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3366 Evening Mist LN
Perris, CA 92571-3760

Mailing address

3366 Evening Mist LN
Perris, CA 92571-3760
Phone (951) 349-8760

Other names 1

  • Celso Martinez Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1124659065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 EVENING MIST LN",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713760",
            "telephone_number": "951-349-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 EVENING MIST LN",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713760",
            "telephone_number": "951-349-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA MILE CARE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CELSO",
        "authorized_official_middle_name": "RIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-349-8760",
        "authorized_official_credential": "TRANSPORTATION"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celso Martinez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.