FERNANDO BOTERO NPI 1982163465

NPI Information

NPI: 1982163465
Provider Name: FERNANDO BOTERO
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
15220 FOX RIDGE DR
FONTANA, CA
ZIP 92336
Phone: (909) 815-0166
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Fernando Botero is a non emergency medical transport van in Fontana, CA. The provider is 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. Fernando Botero NPI is 1982163465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15220 FOX RIDGE DR
FONTANA, CA
ZIP 92336-230
Phone: (909) 815-0166

The enumeration date for this NPI number is 3/14/2019 and was last updated on 4/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347E00000X	Transportation Broker		81-4404308	CALIFORNIA	No
2	343900000X	Non-emergency Medical Transport (VAN)		81-4404308	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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