Healthcare Provider Details

I. General information

NPI: 1457297848
Provider Name (Legal Business Name): PARADISE PLUS CARE TRANSPORTATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 E HILLCREST DR
THOUSAND OAKS CA
91360-5827
US

IV. Provider business mailing address

275 E HILLCREST DR 160-121
THOUSAND OAKS CA
91360-5827
US

V. Phone/Fax

Practice location:
  • Phone: 805-657-7936
  • Fax:
Mailing address:
  • Phone: 805-657-7936
  • Fax: 805-380-4558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: IVONNE KRAUSE PAMBAKIAN
Title or Position: CEO
Credential:
Phone: 805-657-7936