Active NPI
Marybelle Transportation Services, LLC
- Non-emergency Medical Transport (VAN)
- Rialto, CA
National Provider Identifier
1124826128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.