Active NPI
Medi Ride LLC
- Non-emergency Medical Transport (VAN)
- Novato, CA
National Provider Identifier
1952837437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.