Provider Demographics
NPI:1639397839
Name:DESERT PRECIOUSCARGO INC.
Entity Type:Organization
Organization Name:DESERT PRECIOUSCARGO INC.
Other - Org Name:PLATINUM CARE NON EMERGENCY TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-217-8628
Mailing Address - Street 1:PO BOX 292167
Mailing Address - Street 2:
Mailing Address - City:PHELAN
Mailing Address - State:CA
Mailing Address - Zip Code:92329-2167
Mailing Address - Country:US
Mailing Address - Phone:760-217-8628
Mailing Address - Fax:760-513-9086
Practice Address - Street 1:10966 HESPERIA RD
Practice Address - Street 2:SUITE C
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-2168
Practice Address - Country:US
Practice Address - Phone:760-949-7193
Practice Address - Fax:760-513-9086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01252FMedicaid