St. Jude Medical Transportation

Primary specialty

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

License

MTN01260F Issued in CA

Legal business name

ST. JUDE MEDICAL TRANSPORTATION

Practice address

10000 Indiana Ave
Suite 2
Riverside, CA 92503-5419

Phone

(951) 351-9888

Fax

(951) 351-9888

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hans Lee Gaw

Title

President

Phone

(951) 351-9888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1043408768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10,000 INDIANA AVE.",
            "address_2": "SUITE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035419",
            "telephone_number": "951-351-9888",
            "fax_number": "951-351-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 INDIANA AVE",
            "address_2": "SUITE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035419",
            "telephone_number": "951-351-9888",
            "fax_number": "951-351-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "GAW",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-351-9888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01260F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren K St Jacques, LMFT
• St Johns Pharmacy Corp (St Johns Pharmacy)
• Victoria Sheree St Martin, DO
• St Mary LLC
• St. Joseph Healthcare Agency, Inc. (St. Joseph Hospice & Palliative Care)
• Karen Jean St. Leger, CADC-CAS
• St. Peter Residence
• St. Rita Residence
• Isabella Stack
• Stacy Petersen Medical Group, P.C.

• Non-emergency Medical Transport (VAN) in Riverside, CA
• Providers in Riverside, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.