Healthcare Provider Details

I. General information

NPI: 1093694432
Provider Name (Legal Business Name): 5A TRANSPORTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12760 BALTIC CT
RANCHO CUCAMONGA CA
91739-8957
US

IV. Provider business mailing address

12760 BALTIC CT
RANCHO CUCAMONGA CA
91739-8957
US

V. Phone/Fax

Practice location:
  • Phone: 909-294-7122
  • Fax:
Mailing address:
  • Phone: 909-294-7122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ADEL HASSANEIN ELKHAMISI
Title or Position: CEO
Credential:
Phone: 909-294-7122