Active NPI
Clifford Rene Gregory, TRANSPORTATION
- Non-emergency Medical Transport (VAN)
- Gardena, CA
National Provider Identifier
1023341195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 16007 S Denver Ave
Gardena, CA 90248-2421 - Phone
- (310) 419-8112
- NPI assigned
- Sep 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | CA | Primary |
Addresses
Primary practice location
16007 S Denver Ave
Gardena, CA 90248-2421
Mailing address
PO Box 3481
Culver City, CA 90231-3481
Phone (310) 419-8112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1023341195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3481",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902313481",
"telephone_number": "310-419-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16007 S DENVER AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902482421",
"telephone_number": "310-419-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "CLIFFORD",
"middle_name": "RENE",
"name_prefix": "Mr.",
"credential": "TRANSPORTATION",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.