{
"Npi": {
"NPI": "1598953671",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RIDGEWAY TRANSPORTATION LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 211377",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHULA VISTA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91921-1377",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-271-4031",
"MailingAddressFaxNumber": "619-271-4032",
"FirstLinePracticeLocationAddress": "1251 3RD AVE STE 202",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHULA VISTA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91911-3261",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "619-271-4031",
"PracticeLocationAddressFaxNumber": "619-271-4032",
"EnumerationDate": "10/14/2007",
"LastUpdateDate": "10/14/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIDGEWAY",
"AuthorizedOfficialFirstName": "JASON",
"AuthorizedOfficialMiddleName": "KEITH",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "619-271-4031",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "343900000X",
"TaxonomyName": "Non-emergency Medical Transport (VAN)",
"LicenseNumber": "16856",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}