12925 HESPERIA VICTORVILLE INC. NPI 1235984766

NPI Information

NPI: 1235984766
Provider Name: 12925 HESPERIA VICTORVILLE, INC.
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address: 2900 BRISTOL STREET BUILDING H SUITE 101
COSTA MESA, CA
ZIP 92626
Phone: (949) 426-0093

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NPI Details

12925 HESPERIA VICTORVILLE, INC. is a private vehicle in Costa Mesa, CA. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. 12925 HESPERIA VICTORVILLE, INC. NPI is 1235984766. The provider is registered as an organization entity type.

The provider's business location address is:

2900 BRISTOL STREET BUILDING H SUITE 101
COSTA MESA, CA
ZIP 92626
Phone: (949) 426-0093
Fax: (949) 777-6479

The provider's authorized official is Randa Zaky .
The authorized official title is Owner and has the following contact phone number (949) 426-0093.

The enumeration date for this NPI number is 4/18/2024 and was last updated on 4/18/2024.

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	Primary
1	342000000X	Transportation Network Company	No
2	343900000X	Non-emergency Medical Transport (VAN)	No
3	344600000X	Taxi	No
4	347B00000X	Bus	No
5	347C00000X	Private Vehicle	Yes
6	347E00000X	Transportation Broker	No

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: 3/30/2025

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