Healthcare Provider Details

I. General information

NPI: 1063241867
Provider Name (Legal Business Name): COUNTY MEDICAL RESPONSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2191 SANBORN RD
YUBA CITY CA
95993-9256
US

IV. Provider business mailing address

1282 STABLER LN STE 630-171
YUBA CITY CA
95993-2625
US

V. Phone/Fax

Practice location:
  • Phone: 530-713-6631
  • Fax:
Mailing address:
  • Phone: 530-713-6631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ULISES TEYES
Title or Position: OWNER
Credential:
Phone: 530-713-6631