Healthcare Provider Details

I. General information

NPI: 1568378628
Provider Name (Legal Business Name): SAFEPATH RIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 ANTELOPE RD STE A3
SACRAMENTO CA
95842-3900
US

IV. Provider business mailing address

5800 ANTELOPE RD STE A3
SACRAMENTO CA
95842-3900
US

V. Phone/Fax

Practice location:
  • Phone: 530-673-7707
  • Fax: 530-673-7733
Mailing address:
  • Phone: 916-956-4566
  • Fax: 916-722-2839

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: GURCHARAN SINGH GILL
Title or Position: MEMBER
Credential:
Phone: 916-956-4566