Gold Star Medical Transport Inc.

Primary specialty

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

Legal business name

GOLD STAR MEDICAL TRANSPORT INC.

Practice address

17105 Lacebark St
Fontana, CA 92337-6860

Phone

(909) 728-2412

NPI assigned

Apr 5, 2023

Last updated

Apr 5, 2023By 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

Babanjot Kahlon

Title

Owner/Ceo

Phone

(909) 728-2412

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1265127450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17105 LACEBARK ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923376860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17105 LACEBARK ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923376860",
            "telephone_number": "909-728-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR MEDICAL TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "KAHLON",
        "authorized_official_first_name": "BABANJOT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-728-2412"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Fontana, CA
• Providers in Fontana, 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 Apr 5, 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.