Active NPI
Good Shepherd Transport LLC
- Non-emergency Medical Transport (VAN)
- Canyon Country, CA
National Provider Identifier
1194140350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- GOOD SHEPHERD TRANSPORT LLC
- Practice address
- 27713 Iris CT
Canyon Country, CA 91351-3448 - Phone
- (661) 424-1646
- NPI assigned
- Feb 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Arlene Mina Aquino-Mootz
- Title
- Member
- Phone
- (818) 470-3425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
27713 Iris CT
Canyon Country, CA 91351-3448
Mailing address
27713 Iris CT
Canyon Country, CA 91351-3448
Phone (661) 424-1646
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395964800000",
"number": "1194140350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27713 IRIS CT",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913513448",
"telephone_number": "661-424-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27713 IRIS CT",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913513448",
"telephone_number": "661-424-1646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SHEPHERD TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-25",
"last_updated": "2014-03-28",
"status": "A",
"authorized_official_last_name": "AQUINO-MOOTZ",
"authorized_official_first_name": "ARLENE",
"authorized_official_middle_name": "MINA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "818-470-3425",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.