Healthcare Provider Details

I. General information

NPI: 1124987268
Provider Name (Legal Business Name): HEALTH RIDE TRANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2026
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9920 BARCELONA CT
SPRING VALLEY CA
91977-3044
US

IV. Provider business mailing address

9920 BARCELONA CT
SPRING VALLEY CA
91977-3044
US

V. Phone/Fax

Practice location:
  • Phone: 920-569-9481
  • Fax:
Mailing address:
  • Phone:
  • 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: SAFA SALIM
Title or Position: MANAGER
Credential:
Phone: 920-569-9481