MEDICARE: WATSON REGIONAL TRANSPORTATION 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	:	1760338339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATSON REGIONAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	5330 MADISON AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3150
Country	:	US
Telephone Number	:	916-304-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 MADISON AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95841-3150
Country	:	US
Telephone Number	:	916-304-9005
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	TORRE DONNELL WATSON
Credential	:
Telephone Number	:	916-304-9005

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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