Provider Demographics
NPI:1659107845
Name:VITAL RIDES INC
Entity type:Organization
Organization Name:VITAL RIDES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:FUSSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-219-1279
Mailing Address - Street 1:8200 STOCKDALE HWY # M10-389
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1091
Mailing Address - Country:US
Mailing Address - Phone:661-219-1279
Mailing Address - Fax:
Practice Address - Street 1:7 W FIGUEROA ST STE 300
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3189
Practice Address - Country:US
Practice Address - Phone:661-219-1279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VITAL RIDES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle