Pacific Ride Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PACIFIC RIDE MEDICAL TRANSPORTATION

Doing business as

PacificRide Medical Transportation

Practice address

14416 Victory Blvd Ste 239
Van Nuys, CA 91401-1441

Phone

(818) 813-4978

Fax

(818) 853-7001

NPI assigned

Jan 10, 2025

Organization subpart

No

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

Authorized official

Name

Leonica Millera Carurucan, TRANSPORTATION

Title

Owner/Ceo

Phone

(818) 813-4978

Specialties & licenses 1

Addresses

Other names 1

• PacificRide Medical Transportation Doing business as

Locations

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1972313948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 WIXOM ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052146",
            "telephone_number": "818-813-4978",
            "fax_number": "818-853-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14416 VICTORY BLVD STE 239",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011441",
            "telephone_number": "818-813-4978",
            "fax_number": "818-853-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIDE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "CARURUCAN",
        "authorized_official_first_name": "LEONICA",
        "authorized_official_middle_name": "MILLERA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "818-813-4978",
        "authorized_official_credential": "TRANSPORTATION"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PacificRide Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PacificRide Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.