Portcitypartybus LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

PORTCITYPARTYBUS LLC

Practice address

729 Junipero Serra Dr
Stockton, CA 95210-1154

Phone

(209) 420-2681

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jason D Horton

Title

President

Phone

(209) 420-2681

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1942069091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 JUNIPERO SERRA DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952101154",
            "telephone_number": "209-420-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 JUNIPERO SERRA DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952101154",
            "telephone_number": "209-420-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTCITYPARTYBUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-420-2681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port City Operating Company, LLC
• Port City Operating Company, LLC (St. Joseph's Medical Center of Stockton)
• Port City Operating Company, LLC (St. Joseph's Medical Center of Stockton)
• Port City Operating Company, LLC (St. Joseph's Behavioral Health Center)
• Frank A Portale, D.D.S.
• Kalashai Porter
• Precious Jewel Porter
• Sequoya Porter
• Chantel Maira Portillo
• Robert J Portillo

• Transportation Broker in Stockton, CA
• Providers in Stockton, CA by specialty
• Transportation Broker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.