Organization Active NPI

Medi Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Novato, CA
National Provider Identifier
1952837437
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI RIDE LLC
Practice address
724 McClay Rd
Novato, CA 94947-3863
Phone
(415) 761-9259
Fax
(415) 761-9259
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Mrs. Tess L Beagle, OWNER OF COMPANY
Title
Owner
Phone
(415) 761-9259

Specialties & licenses 1

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

Addresses

Primary practice location

724 McClay Rd
Novato, CA 94947-3863

Mailing address

926 A Diablo Ave Ste 207
Novato, CA 94947-4025
Phone (415) 761-9259

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1952837437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 A DIABLO AVE STE 207",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474025",
            "telephone_number": "415-761-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MCCLAY RD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473863",
            "telephone_number": "415-761-9259",
            "fax_number": "415-761-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "BEAGLE",
        "authorized_official_first_name": "TESS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-761-9259",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER OF COMPANY"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.