Active NPI
Extra Mile Care Transportation
- Non-emergency Medical Transport (VAN)
- Perris, CA
National Provider Identifier
1124659065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Celso Rios Martinez, TRANSPORTATION
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Private Vehicle
- Perris, CA
- NPI 1386286722
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.