Organization Active NPI

Medic Ride Corporation

  • Non-emergency Medical Transport (VAN)
  • Antelope, CA
National Provider Identifier
1952454076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN01058F Issued in CA
Legal business name
MEDIC RIDE CORPORATION
Practice address
5111 Rolling Field CT
Antelope, CA 95843-4608
Phone
(916) 722-1079
Fax
(916) 722-1079
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Margarita Betita Dano
Title
President
Phone
(916) 722-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN01058F CA Primary

Addresses

Primary practice location

5111 Rolling Field CT
Antelope, CA 95843-4608

Mailing address

5111 Rolling Field CT
Antelope, CA 95843-4608
Phone (916) 722-1079

Other identifiers 1

IdentifierTypeStateIssuer
MTN01058FOtherCAMEDI-CAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952454076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 ROLLING FIELD CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434608",
            "telephone_number": "916-722-1079",
            "fax_number": "916-722-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROLLING FIELD CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434608",
            "telephone_number": "916-722-1079",
            "fax_number": "916-722-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC RIDE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANO",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "BETITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-722-1079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01058F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "MTN01058F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antelope, CA

Sources for this page

  • 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.