Organization Active NPI

Marybelle Transportation Services, LLC

  • Non-emergency Medical Transport (VAN)
  • Rialto, CA
National Provider Identifier
1124826128
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MARYBELLE TRANSPORTATION SERVICES, LLC
Practice address
514 E Etiwanda Ave
Rialto, CA 92376-4471
Phone
(909) 731-2953
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Theryl Gwen Williams, LVN
Title
Ceo
Phone
(909) 731-2953

Specialties & licenses 1

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

Addresses

Primary practice location

514 E Etiwanda Ave
Rialto, CA 92376-4471

Mailing address

1310 S Riverside Ave # 3F-414
Rialto, CA 92376-7622
Phone (909) 731-2953

National Provider Directory

National Provider Directory

Locations

1310 S Riverside Ave
#3F414
Rialto, CA 92376

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1124826128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S RIVERSIDE AVE # 3F-414",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767622",
            "telephone_number": "909-731-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E ETIWANDA AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764471",
            "telephone_number": "909-731-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYBELLE TRANSPORTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THERYL",
        "authorized_official_middle_name": "GWEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-731-2953",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.