Provider Demographics
NPI:1588461693
Name:SYLVA, JAMES
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SYLVA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 CABERNET CT APT 11C
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-2961
Mailing Address - Country:US
Mailing Address - Phone:530-965-0947
Mailing Address - Fax:
Practice Address - Street 1:15 CABERNET CT APT 11C
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-2961
Practice Address - Country:US
Practice Address - Phone:530-965-0947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01364U2347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle