Individual provider Active NPI

Marcellinus Osuji

  • Non-emergency Medical Transport (VAN)
  • Rancho Cucamonga, CA
National Provider Identifier
1083301071
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
C5496060 Issued in CA
Practice address
10134 6TH St Ste E
Rancho Cucamonga, CA 91730-5856
Phone
(909) 371-1120
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X C5496060 CA Primary

Addresses

Primary practice location

10134 6TH St Ste E
Rancho Cucamonga, CA 91730-5856

Mailing address

10134 6TH St Ste D
Rancho Cucamonga, CA 91730-5856
Phone (909) 371-1120

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

State licenses

LicenseStateTypeSpecialty
C5496060CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1083301071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10134 6TH ST STE D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305856",
            "telephone_number": "909-371-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10134 6TH ST STE E",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305856",
            "telephone_number": "909-371-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUJI",
        "first_name": "MARCELLINUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "C5496060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.