Provider Demographics
NPI:1871621722
Name:ADVANCE TRANSIT
Entity type:Organization
Organization Name:ADVANCE TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EFREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-995-6365
Mailing Address - Street 1:5111 ROLLING FIELD CT
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-4608
Mailing Address - Country:US
Mailing Address - Phone:916-995-6365
Mailing Address - Fax:
Practice Address - Street 1:5111 ROLLING FIELD CT
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-4608
Practice Address - Country:US
Practice Address - Phone:916-995-6365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN01248F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)