NPIMap

Organization Active NPI

Advance Access Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Corona, CA
National Provider Identifier
1356693014
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
TCP0027004 - B Issued in CA
Legal business name
ADVANCE ACCESS RIDE LLC
Practice address
2045 Compton Ave
Suite Number 203
Corona, CA 92881-7286
Phone
(951) 263-2649
Fax
(951) 547-3653
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Ayman BahtaNPI 1245811264
Title
Operating Manager
Phone
(832) 781-6159

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X TCP0027004 - B CA Primary

Addresses

Primary practice location

2045 Compton Ave
Suite Number 203
Corona, CA 92881-7286

Mailing address

2045 Compton Ave
Suite Number 203
Corona, CA 92881-7286
Phone (951) 263-2649

National Provider Directory

National Provider Directory
Tax ID family
Advance Access Ride LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2045 Compton Ave
Ste 203
Corona, CA 92881
Phone (951) 263-2649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1356693014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 COMPTON AVE",
            "address_2": "SUITE NUMBER 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817286",
            "telephone_number": "951-263-2649",
            "fax_number": "951-547-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 COMPTON AVE",
            "address_2": "SUITE NUMBER 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817286",
            "telephone_number": "951-263-2649",
            "fax_number": "951-547-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ACCESS RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "BAHTA",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "832-781-6159"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "TCP0027004 - B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.