OrganizationActive
Care Wagon Medical Transport LLC
NPI 1124379300 · Non-emergency Medical Transport (VAN) · Rialto, CA
Provider details
- NPI number
- 1124379300
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Evelyn Denby, Owner/Ceo(909) 428-2273
- License
- 201208110344 (CA)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3579 Goldenrod Ave
Rialto, CA 92377-3409
Phone: (909) 428-2273
Fax: (909) 600-7107
Street-level locationGet directions
Mailing address
2026 N Riverside Ave
Rialto, CA 92377-4685
Registry dates
- Enumerated
- 2012-09-27
- Last updated
- 2017-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.