Provider Demographics
NPI:1306355540
Name:RIDE AID INC.
Entity Type:Organization
Organization Name:RIDE AID INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:JERRAR
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:714-809-4444
Mailing Address - Street 1:1438 S EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-2103
Mailing Address - Country:US
Mailing Address - Phone:714-809-4444
Mailing Address - Fax:714-333-4412
Practice Address - Street 1:2100 W BALL RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-5417
Practice Address - Country:US
Practice Address - Phone:714-909-5000
Practice Address - Fax:714-333-4412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABUS2017-02493343900000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)