Active NPI
Malwa Inc
- Private Vehicle
- Santa Rosa, CA
National Provider Identifier
1205656030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Legal business name
- MALWA INC
- Practice address
- 2035 Bedford St
Santa Rosa, CA 95404-8029 - Phone
- (707) 228-9858
- NPI assigned
- Oct 16, 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
- Ranbir Sidhu
- Title
- President
- Phone
- (707) 228-9858
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | Primary | ||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
2035 Bedford St
Santa Rosa, CA 95404-8029
Mailing address
2035 Bedford St
Santa Rosa, CA 95404-8029
Phone (707) 228-9858
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1205656030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 BEDFORD ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954048029",
"telephone_number": "707-228-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 BEDFORD ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954048029",
"telephone_number": "707-228-9858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALWA INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-16",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "SIDHU",
"authorized_official_first_name": "RANBIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-228-9858"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.