Individual provider Active NPI

Senobio Ceballos Posadas

  • Transportation Network Company
  • Atwater, CA
National Provider Identifier
1174358642
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
License
B5497245 Issued in CA
Practice address
2550 Boulder Dr
Atwater, CA 95301-4480
Phone
(209) 628-3457
NPI assigned
Sep 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X B5497245 CA Primary

Addresses

Primary practice location

2550 Boulder Dr
Atwater, CA 95301-4480

Mailing address

10369 25TH St
Rancho Cucamonga, CA 91730-4711
Phone (714) 398-2777

Other practice location 1

10369 25th St
Rancho Cucamonga, CA 91730-4711
Phone (714) 398-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B5497245CAMDTransportation Network Company

Practice roles

OrganizationSpecialtyStatusNew patients
Care Transportation Services LLC Transportation Network Company CurrentSince Sep 15, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1174358642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10369 25TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304711",
            "telephone_number": "714-398-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BOULDER DR",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014480",
            "telephone_number": "209-628-3457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10369 25th St",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304711",
            "country_code": "US",
            "telephone_number": "714-398-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POSADAS",
        "first_name": "SENOBIO",
        "middle_name": "CEBALLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "CA",
            "license": "B5497245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.