Organization Active NPI

Careconnexus, LLC

  • Non-emergency Medical Transport (VAN)
  • Riverside, CA
National Provider Identifier
1699257121
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CARECONNEXUS, LLC
Practice address
9338 Millionaire Lane
Riverside, CA 92508
Phone
(909) 800-1224
NPI assigned
Aug 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Mark Anthony Verzosa Suarez, OWNER
Title
Owner
Phone
(909) 800-1224

Specialties & licenses 1

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

Addresses

Primary practice location

9338 Millionaire Lane
Riverside, CA 92508

Mailing address

9338 Millionaire Lane
19069 Van Buren Blvd. Ste. # 429
Riverside, CA 92508
Phone (909) 800-1224

Other names 1

  • CareConnexus, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1699257121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9338 MILLIONAIRE LANE",
            "address_2": "19069 VAN BUREN BLVD. STE. # 429",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92508",
            "telephone_number": "909-800-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9338 MILLIONAIRE LANE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92508",
            "telephone_number": "909-800-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNEXUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "MARK ANTHONY",
        "authorized_official_middle_name": "VERZOSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-800-1224",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareConnexus, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.