Healthcare Provider Details

I. General information

NPI: 1538094644
Provider Name (Legal Business Name): BLUE JAY MEDICAL TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 GOSHEN AVE
CLOVIS CA
93611-7363
US

IV. Provider business mailing address

3400 COTTAGE WAY # G235812
SACRAMENTO CA
95825-1474
US

V. Phone/Fax

Practice location:
  • Phone: 559-260-7755
  • Fax:
Mailing address:
  • Phone: 559-260-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOANNA RUIZ
Title or Position: PRESIDENT
Credential:
Phone: 559-260-7755