Healthcare Provider Details

I. General information

NPI: 1740154087
Provider Name (Legal Business Name): METROMED RIDES NON EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2423 CAMINO GARDEN WAY
CARMICHAEL CA
95608-5104
US

IV. Provider business mailing address

2423 CAMINO GARDEN WAY
CARMICHAEL CA
95608-5104
US

V. Phone/Fax

Practice location:
  • Phone: 916-640-7384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KHALEEL YASIR
Title or Position: PRESIDENT
Credential:
Phone: 916-640-7384