PRIDE INDUSTRIES ONE, INC. (NPI# 1639325269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639325269 |
| Entity Type | Organization |
| Organization Name | PRIDE INDUSTRIES ONE, INC. |
| Other Organization Name | CTSA OF PLACER COUNTY |
| Practice Address |
10030 Foothills Blvd M/s 26 Roseville CA 95747-5178 |
| Practice Telephone | 9167882100 |
| Mailing Telephone | 9167882100 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | JOAN PEDERSON (TRANSPORTATION MANAGER) |
| Authorized Official Telephone | 9167882327 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIDE INDUSTRIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347B00000X | Bus | CA-45685 | CA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | MTN00615F | 01 |
| Other Name | Type Code |
|---|---|
| CTSA of Placer County | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PRIDE INDUSTRIES ONE, INC. | 600 Mamaroneck Ave #400, Harrison, Ny 10528 |
| Colorado Business Entities | PRIDE INDUSTRIES ONE, INC. | 10030 Foothills Boulevard, Roseville, CA 95747 |
| Street Address |
10030 FOOTHILLS BLVD M/S 26 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-5178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417138215 | Consolidated Transportation Service Agency | Non-emergency Medical Transport (VAN) | 10030 Foothills Blvd, Roseville, CA 95747-7102 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 347B00000X |
| Grouping | Transportation Services |
| Classification | Bus |
| A public or private organization or business licensed to provide bus services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154801256 | Amador Regional Transit | Bus | 11400 American Legion Dr, Jackson, CA 95642-9525 | 2018-08-17 |
| 1316436686 | San Diego Metropolitan Transit System | Bus | 1255 Imperial Ave Ste 1000, San Diego, CA 92101-7490 | 2018-05-02 |
| 1073060547 | Sierra Env & Social Services Inc | Bus | 3645 Lorena Ave, E, Castro Valley, CA 94546-4369 | 2016-09-01 |
| 1073904462 | Fillmore Area Transit Corp | Bus | 1024 W Ventura St, Fillmore, CA 93015-1758 | 2015-02-06 |
| 1104105048 | Kidz First Transit,llc | Bus | 14 Diane Ct, 2063 Main Street #416, Oakley, CA 94561-2786 | 2011-08-10 |
| 1992002851 | City Transport | Bus | 2641 Moyers Rd, Richmond, CA 94806-2724 | 2011-02-11 |
| 1497068167 | Atp Enterprises, Inc | Bus | 4946 Valley Ridge Ave, Los Angeles, CA 90043-1052 | 2010-07-22 |
| 1548316631 | Coastside Opportunity Center | Bus | 99 Ave. Alhambra, El Granada, CA 94018 | 2007-01-25 |
| 1609946854 | United Cerebral Palsy | Bus | 3620 Sacramento Dr, Suite 201, San Luis Obispo, CA 93401-7215 | 2006-11-08 |
| 1275154635 | Karen Elizabeth Curry-cole | Bus | 30500 Arrastre Canyon Rd, Acton, CA 93510-2160 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.