SUPREME MEDICAL TRANSPORTATION LLC (NPI# 1093990137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093990137 |
| Entity Type | Organization |
| Organization Name | SUPREME MEDICAL TRANSPORTATION LLC |
| Practice Address |
9589 Foothill Blvd Rancho Cucamonga CA 91730-3506 |
| Practice Telephone | 9094667711 |
| Mailing Telephone | 9094667711 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2011-11-05 |
| Authorized Official Name | MRS. CARMELITA Q AVELLANO (MEMBER) |
| Authorized Official Telephone | 9099071031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427562479 | Supreme Medical Transportation LLC | Ambulance | 5241 W Fayetteville Rd Ste A, Atlanta, GA 30349-5413 | 2017-11-29 |
| Street Address |
9589 FOOTHILL BLVD |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841233590 | Richard A Gilkison | Optometrist | 9589 Foothill Blvd, Rancho Cucamonga, CA 91730-3506 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108136 | Crossroads of Choice, Inc. | Non-emergency Medical Transport (VAN) | 11130 White Birch Dr, Rancho Cucamonga, CA 91730-3819 | 2020-06-11 |
| 1336798800 | Erika Romain | Non-emergency Medical Transport (VAN) | 10346 Plumeria Ct Unit 1, Rancho Cucamonga, CA 91730-0313 | 2019-09-08 |
| 1689131294 | Amh Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 8350 Archibald Ave Ste 210, Rancho Cucamonga, CA 91730-3671 | 2019-03-01 |
| 1699230300 | Gogo Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 13269 Firestone Dr, Rancho Cucamonga, CA 91739 | 2019-02-06 |
| 1730663196 | Mohamed Sherif Ali | Non-emergency Medical Transport (VAN) | 9635 Baseline Rd Unit 230, Rancho Cucamonga, CA 91730-1359 | 2018-09-21 |
| 1881127934 | Assurance Medical Transport LLC | Non-emergency Medical Transport (VAN) | 9443 Glenaire Ct, Rancho Cucamonga, CA 91730-5777 | 2017-04-05 |
| 1124474432 | Jason A Azie | Non-emergency Medical Transport (VAN) | 9507 Arrow Rte Bldg 7-c, Rancho Cucamonga, CA 91730-4580 | 2016-05-05 |
| 1851717466 | Health Care Transportation | Non-emergency Medical Transport (VAN) | 10801 Lemon Ave, 1022, Rancho Cucamonga, CA 91737-3813 | 2014-03-07 |
| 1407105638 | Vekiel | Non-emergency Medical Transport (VAN) | 10757 Lemon Ave Apt 1224, Rancho Cucamonga, CA 91737-6948 | 2012-09-04 |
| 1063790111 | Xtra Care Medical Transport, Inc. | Non-emergency Medical Transport (VAN) | 6888 Landriano Pl, Rancho Cucamonga, CA 91701-8521 | 2011-07-22 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on SUPREME MEDICAL TRANSPORTATION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.