=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932018579
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PYF TRANSPORT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2026
-----------------------------------------------------
Last Update Date | 09/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1150 W EL CAMINO AVE
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95833-2007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-875-3095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1150 W EL CAMINO AVE
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95833-2007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-875-3095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | FARRIS BRADDY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 510-875-3095
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------