Lawrence Ekhaguere

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

1142 Miracle Dr
San Jacinto, CA 92583-4451

Phone

(951) 629-8432

NPI assigned

Jun 2, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cleanjet Logistics LLC

  • Non-emergency Medical Transport (VAN)
  • San Jacinto, CA
  • NPI 1386329654
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1013601103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 MIRACLE DR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834451",
            "telephone_number": "951-629-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 MIRACLE DR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834451",
            "telephone_number": "951-629-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKHAGUERE",
        "first_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Dunnington
• VI-Khoi K. Duong, DDS
• Kiera Sarai Duran
• E&T Behavioral Advisory
• Edge Physical Therapy Inc
• Tonnette NA Ellis
• Ahmed Mahmoud Elsherif
• Elvia Juarez a Dental Corporation
• Darlene S. Emerine, MFTI
• Jellane M Emeses

• All providers in San Jacinto, CA
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.