MR. HUBERT LEE RUCKER JR. (NPI# 1871059683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871059683 |
| Entity Type | Individual |
| Full Name | MR. HUBERT LEE RUCKER JR. |
| Practice Address |
2921 Split Mountain Ln San Bernardino CA 92407-5190 |
| Practice Telephone | 9097307646 |
| Mailing Telephone | 9097307646 |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2019-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | CA | Transportation Services |
| Street Address |
2921 SPLIT MOUNTAIN LN |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92407-5190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
| 1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
| 1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
| 1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
| Find all providers in zip 92407 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955522 | Lessie Thomas Philpot Jr. | Non-emergency Medical Transport (VAN) | 228 E 34th St, San Bernardino, CA 92404-2204 | 2020-06-03 |
| 1972143295 | Darwin Racar Dave | Non-emergency Medical Transport (VAN) | 205 E Kimberly Ct, San Bernardino, CA 92408-4187 | 2020-01-14 |
| 1689213274 | Vega Transport Ca LLC | Non-emergency Medical Transport (VAN) | 275 W Hospitality Ln Ste 322, San Bernardino, CA 92408-3265 | 2019-12-30 |
| 1659842714 | Medie Pizarro Valdez | Non-emergency Medical Transport (VAN) | 1992 N Kenwood Ave, San Bernardino, CA 92404-4942 | 2018-12-16 |
| 1801391412 | Isaiah Amores | Non-emergency Medical Transport (VAN) | 6942 Jasmine Ct, San Bernardino, CA 92407-1929 | 2018-03-26 |
| 1932613098 | Lightning Medical Transport | Non-emergency Medical Transport (VAN) | 2333 Genevieve St, San Bernardino, CA 92405-3507 | 2017-11-28 |
| 1649781022 | Humanity Inc | Non-emergency Medical Transport (VAN) | 2367 Sterling Ave, San Bernardino, CA 92404-4623 | 2017-10-12 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1750816617 | Waheed Majeed | Non-emergency Medical Transport (VAN) | 1504 Creekside Dr, San Bernardino, CA 92407-2844 | 2017-04-27 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92407 |
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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.