Active NPI
Adaptiveride LLC
- Transportation Broker
- Stockton, CA
National Provider Identifier
1124874862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- Legal business name
- ADAPTIVERIDE LLC
- Practice address
- 4664 Cayman CT
Stockton, CA 95210-5690 - Phone
- (209) 489-6779
- NPI assigned
- Apr 24, 2024
- 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
- John Mohamed Tarawali, ADMINISTRATOR
- Title
- Ceo
- Phone
- (209) 489-6779
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Transportation Broker | 347E00000X | Primary |
Addresses
Primary practice location
4664 Cayman CT
Stockton, CA 95210-5690
Mailing address
4664 Cayman CT
Stockton, CA 95210-5690
Phone (209) 489-6779
Other names 1
- adaptiveride llc
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.
-
- Behavior Technician
- Stockton, CA
- NPI 1912364316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1124874862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4664 CAYMAN CT",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952105690",
"telephone_number": "209-489-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4664 CAYMAN CT",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952105690",
"telephone_number": "209-489-6779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAPTIVERIDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-24",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "TARAWALI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MOHAMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-489-6779",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "adaptiveride llc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "adaptiveride llc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.