Provider Demographics
NPI:1184443418
Name:GRAVITON TRANSPORTATION
Entity type:Organization
Organization Name:GRAVITON TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:POSADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-813-7584
Mailing Address - Street 1:109 MANLY TER UNIT 5
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-5102
Mailing Address - Country:US
Mailing Address - Phone:408-813-7584
Mailing Address - Fax:
Practice Address - Street 1:5600 PIRRONE RD
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CA
Practice Address - Zip Code:95368-8203
Practice Address - Country:US
Practice Address - Phone:408-813-7584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)