MEDICARE: UNITED GLOBAL ACCESS TRANSPORTATION, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	7XJF315	CA

General Provider Information

NPI Number	:	1932612363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED GLOBAL ACCESS TRANSPORTATION, INC.

Provider Business Mailing Address
First Line	:	PO BOX 348228
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-8228
Country	:	US
Telephone Number	:	888-866-6855
Fax Number	:

Provider Business Practice Location Address
First Line	:	2949 LONGBOAT KEY WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95835-3004
Country	:	US
Telephone Number	:	916-813-1184
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CINDY BALDWIN
Credential	:
Telephone Number	:	916-813-1184

Provider Enumeration Date	:	11/07/2017
Last Update Date	:	11/07/2017

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