Organization Active NPI

Advance Access Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Corona, CA
National Provider Identifier
1649610189
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
TCP27004 Issued in CA
Legal business name
ADVANCE ACCESS RIDE LLC
Practice address
13668 Heatherwood Dr
Corona, CA 92880-0712
Phone
(714) 585-5310
NPI assigned
Jun 28, 2013
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Nuru Adem Nuru
Title
Owner
Phone
(714) 585-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X TCP27004 CA Primary

Addresses

Primary practice location

13668 Heatherwood Dr
Corona, CA 92880-0712

Mailing address

13668 Heatherwood Dr
Corona, CA 92880-0712
Phone (714) 585-5310

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1649610189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 HEATHERWOOD DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928800712",
            "telephone_number": "714-585-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 HEATHERWOOD DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928800712",
            "telephone_number": "714-585-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ACCESS RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "NURU",
        "authorized_official_first_name": "NURU",
        "authorized_official_middle_name": "ADEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-585-5310"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "TCP27004",
            "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 Jun 28, 2013; 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.