Organization Active NPI

Crossroads of Choice, Inc.

  • Non-emergency Medical Transport (VAN)
  • Rancho Cucamonga, CA
National Provider Identifier
1770108136
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CROSSROADS OF CHOICE, INC.
Practice address
11130 White Birch Dr
Rancho Cucamonga, CA 91730-3819
Phone
(909) 481-9663
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Robert Horrigan
Title
Vice President
Phone
(909) 484-5561

Specialties & licenses 1

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

Addresses

Primary practice location

11130 White Birch Dr
Rancho Cucamonga, CA 91730-3819

Mailing address

11130 White Birch Dr
Rancho Cucamonga, CA 91730-3819

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1038424Crossroads of Choice, Inc11130 White Birch Dr, Rancho Cucamonga, CA 91730Certificate of waiverDec 22, 2027

National Provider Directory

National Provider Directory

Locations

11130 White Birch Dr
Rancho Cucamonga, CA 91730
Phone (909) 481-9663

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1770108136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 WHITE BIRCH DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 WHITE BIRCH DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303819",
            "telephone_number": "909-481-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS OF CHOICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "HORRIGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-484-5561"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.