Proride Corporation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PRORIDE CORPORATION

Practice address

815 Commercial Ave
San Gabriel, CA 91776-1911

Phone

(626) 286-2885

Fax

(626) 286-2337

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Albert Benemerito De Peralta

Title

President

Phone

(626) 286-2885

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801941190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COMMERCIAL AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761911",
            "telephone_number": "626-286-2885",
            "fax_number": "626-286-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COMMERCIAL AVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761911",
            "telephone_number": "626-286-2885",
            "fax_number": "626-286-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRORIDE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE PERALTA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "BENEMERITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-286-2885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.