Healthcare Provider Details

I. General information

NPI: 1972439974
Provider Name (Legal Business Name): HEALWAY MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 CRAWFORD AVE APT B
PORTERVILLE CA
93257-8991
US

IV. Provider business mailing address

540 CRAWFORD AVE APT B
PORTERVILLE CA
93257-8991
US

V. Phone/Fax

Practice location:
  • Phone: 559-359-2220
  • Fax: 559-202-1183
Mailing address:
  • Phone: 559-359-2220
  • Fax: 559-202-1183

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: TOBIAS TORRES CEBALLOS
Title or Position: PRESIDENT
Credential:
Phone: 559-359-2220