MEDICARE: PAT UBARIEKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	342000000X	Transportation Network Company
3	343900000X	Non-emergency Medical Transport (VAN)
4	347E00000X	Transportation Broker
5	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1346050374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAT UBARIEKE

Provider Business Mailing Address
First Line	:	4336 OREGON ST APT 4
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-1241
Country	:	US
Telephone Number	:	619-389-6025
Fax Number	:

Provider Business Practice Location Address
First Line	:	4336 OREGON ST APT 4
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-1241
Country	:	US
Telephone Number	:	619-389-6025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2025
Last Update Date	:	01/11/2025

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Directions to “ PAT UBARIEKE ” Practice Location

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