MEDICARE: ON SITE NEMT 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	:	1558219980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON SITE NEMT LLC

Provider Business Mailing Address
First Line	:	852 WASHINGTON ST
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-8835
Country	:	US
Telephone Number	:	629-295-9489
Fax Number	:

Provider Business Practice Location Address
First Line	:	852 WASHINGTON ST
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-8835
Country	:	US
Telephone Number	:	629-295-9489
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IHAB RIZIK OTHMAN
Credential	:
Telephone Number	:	629-295-9489

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ON SITE NEMT LLC ” Practice Location

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