Provider Demographics
NPI:1972342053
Name:BAY RIDE EXPRESS
Entity type:Organization
Organization Name:BAY RIDE EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-837-2224
Mailing Address - Street 1:825 BODEGA WAY
Mailing Address - Street 2:
Mailing Address - City:RODEO
Mailing Address - State:CA
Mailing Address - Zip Code:94572-2010
Mailing Address - Country:US
Mailing Address - Phone:510-837-2224
Mailing Address - Fax:
Practice Address - Street 1:825 BODEGA WAY
Practice Address - Street 2:
Practice Address - City:RODEO
Practice Address - State:CA
Practice Address - Zip Code:94572-2010
Practice Address - Country:US
Practice Address - Phone:510-837-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)