Elite Travel LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

ELITE TRAVEL LLC

Practice address

481 Roosevelt Ave
Pomona, CA 91767-3139

Phone

(949) 379-4948

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Lydia R Zepeda

Title

Managing Partner

Phone

(949) 379-4948

Specialties & licenses 1

Addresses

Other names 1

• Elite Healthcare Transportation Doing business as

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1982478459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 ROOSEVELT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673139",
            "telephone_number": "949-379-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 ROOSEVELT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673139",
            "telephone_number": "949-379-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TRAVEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "ZEPEDA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "949-379-4948",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Healthcare Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deysha Nakeyta Ellis

• Transportation Network Company in Pomona, CA
• Providers in Pomona, CA by specialty
• Transportation Network Company in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.