Organization Active NPI

Travis D Tramel Rdhap, Inc

  • Health Maintenance Organization
  • Riverside, CA
National Provider Identifier
1821532474
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
HAP588 Issued in CA
Legal business name
TRAVIS D TRAMEL RDHAP, INC
Doing business as
GeriSmiles Hygiene Practice of Travis Tramel RDHAP
Practice address
4199 Flat Rock Dr
Suite 127
Riverside, CA 92505-7115
Phone
(951) 428-1714
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Travis Tramel, RDHAPNPI 1922484682
Title
Ceo
Phone
(951) 757-9964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X HAP588 CA Primary

Addresses

Primary practice location

4199 Flat Rock Dr
Suite 127
Riverside, CA 92505-7115

Mailing address

4199 Flat Rock Dr
Suite 127
Riverside, CA 92505-7115

Other names 1

  • GeriSmiles Hygiene Practice of Travis Tramel RDHAP Doing business as

National Provider Directory

National Provider Directory

Locations

4199 Flat Rock Dr
Ste 127
Riverside, CA 92505
Phone (951) 428-1714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1821532474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 FLAT ROCK DR",
            "address_2": "SUITE 127",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 FLAT ROCK DR",
            "address_2": "SUITE 127",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925057115",
            "telephone_number": "951-428-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS D TRAMEL RDHAP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "TRAMEL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-757-9964",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "HAP588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GeriSmiles Hygiene Practice of Travis Tramel RDHAP",
            "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 Dec 15, 2016; 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.