Healthcare Provider Details

I. General information

NPI: 1134082894
Provider Name (Legal Business Name): NORTHERN PEAKS MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4296 CLAY ST APT 9
REDDING CA
96003-2483
US

IV. Provider business mailing address

4296 CLAY ST APT 9
REDDING CA
96003-2483
US

V. Phone/Fax

Practice location:
  • Phone: 626-800-7950
  • Fax:
Mailing address:
  • Phone: 626-800-7950
  • 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: ANTONIO JUNIOR YANEZ
Title or Position: REGISTERED RESPORATORY THERAPIST
Credential: RRT
Phone: 626-800-7950