Provider Demographics
NPI:1386487627
Name:CABADA, LUIS JOSE SR
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:JOSE
Last Name:CABADA
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26100 GADING RD APT 104
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-3270
Mailing Address - Country:US
Mailing Address - Phone:209-542-0106
Mailing Address - Fax:
Practice Address - Street 1:26100 GADING RD APT 104
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-3270
Practice Address - Country:US
Practice Address - Phone:209-542-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)