Active NPI
Executive Ride, LLC
- Non-emergency Medical Transport (VAN)
- Inglewood, CA
National Provider Identifier
1730848557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- EXECUTIVE RIDE, LLC
- Practice address
- 4520 W Imperial Hwy
Inglewood, CA 90304-2710 - Phone
- (310) 536-7922
- NPI assigned
- Dec 8, 2021
- 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
- Parminder Joea
- Title
- Managing Member
- Phone
- (310) 536-7922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
4520 W Imperial Hwy
Inglewood, CA 90304-2710
Mailing address
4520 W Imperial Hwy
Inglewood, CA 90304-2710
Phone (310) 536-7922
National Provider Directory
National Provider DirectoryLocations
4520 W Imperial Hwy
Inglewood, CA 90304
Phone (310) 536-7922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638921600000",
"number": "1730848557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 W IMPERIAL HWY",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903042710",
"telephone_number": "310-536-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 W IMPERIAL HWY",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903042710",
"telephone_number": "310-536-7922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXECUTIVE RIDE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-03",
"status": "A",
"authorized_official_last_name": "JOEA",
"authorized_official_first_name": "PARMINDER",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "310-536-7922"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.