MEDICARE: LIGHT OF DAY TRANSPORTATION

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	:	1639027535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHT OF DAY TRANSPORTATION

Provider Business Mailing Address
First Line	:	292 E 49TH ST APT D
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-1175
Country	:	US
Telephone Number	:	909-915-6415
Fax Number	:

Provider Business Practice Location Address
First Line	:	292 E 49TH ST APT D
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-1175
Country	:	US
Telephone Number	:	909-915-6415
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FREDIA CLARK
Credential	:
Telephone Number	:	909-915-6415

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “LIGHT OF DAY TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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