Individual provider Active NPI

Michael Ratliff

  • Non-emergency Medical Transport (VAN)
  • Loomis, CA
National Provider Identifier
1316163462
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
300145 Issued in CA
Practice address
5900 King Rd Ste 209
Loomis, CA 95650
Phone
(916) 824-2255
Fax
(800) 881-8439
NPI assigned
Apr 17, 2007
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 300145 CA Primary

Addresses

Primary practice location

5900 King Rd Ste 209
Loomis, CA 95650

Mailing address

5900 King Rd Ste 209
Loomis, CA 95650-7948
Phone (916) 824-2255

Other identifiers 1

IdentifierTypeStateIssuer
MTN01151FOtherCAMEDI - CAL PROVIDER NUMBE

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
300145CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1316163462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 KING RD STE 209",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956507948",
            "telephone_number": "916-824-2255",
            "fax_number": "800-881-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 KING RD STE 209",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "95650",
            "telephone_number": "916-824-2255",
            "fax_number": "800-881-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "300145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI - CAL PROVIDER NUMBE",
            "identifier": "MTN01151F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loomis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.