MEDICARE: KLARIX GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1366306961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KLARIX GROUP LLC

Provider Business Mailing Address
First Line	:	2660 JACKSON DR
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-6923
Country	:	US
Telephone Number	:	925-800-9565
Fax Number	:

Provider Business Practice Location Address
First Line	:	2660 JACKSON DR
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-6923
Country	:	US
Telephone Number	:	925-800-9565
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GLESSIE MENDOZA
Credential	:
Telephone Number	:	925-800-9565

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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