Organization Active NPI

Sunrise Medical Transportation, Inc.

  • Non-emergency Medical Transport (VAN)
  • Rancho Cucamonga, CA
National Provider Identifier
1992854772
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUNRISE MEDICAL TRANSPORTATION, INC.
Practice address
9375 Archibald Ave
Suite #210
Rancho Cucamonga, CA 91730-5729
Phone
(909) 899-1440
Fax
(909) 527-4596
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mrs. Josephine Jose
Title
Owner
Phone
(909) 899-1440

Specialties & licenses 1

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

Addresses

Primary practice location

9375 Archibald Ave
Suite #210
Rancho Cucamonga, CA 91730-5729

Mailing address

9375 Archibald Ave
Suite #210
Rancho Cucamonga, CA 91730-5729
Phone (909) 899-1440

Other identifiers 1

IdentifierTypeStateIssuer
MTN00797FMedicaidCA

National Provider Directory

National Provider Directory

Locations

9375 Archibald Ave
Ste 210
Rancho Cucamonga, CA 91730
Phone (909) 899-1440

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1992854772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE",
            "address_2": "SUITE #210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305729",
            "telephone_number": "909-899-1440",
            "fax_number": "909-527-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE",
            "address_2": "SUITE #210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305729",
            "telephone_number": "909-899-1440",
            "fax_number": "909-527-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-899-1440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN00797F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.