Provider Demographics
NPI:1598292450
Name:GUARDIAN MOBILITY, INC.
Entity Type:Organization
Organization Name:GUARDIAN MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:F
Authorized Official - Last Name:CORREIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-628-7539
Mailing Address - Street 1:2347 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-2617
Mailing Address - Country:US
Mailing Address - Phone:925-628-7539
Mailing Address - Fax:888-505-8818
Practice Address - Street 1:2347 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-2617
Practice Address - Country:US
Practice Address - Phone:925-628-7539
Practice Address - Fax:888-505-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)