Individual provider Active NPI

Samuel De Jesus Juarez

  • Non-emergency Medical Transport (VAN)
  • Greenfield, CA
National Provider Identifier
1265228720
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
F5505311 Issued in CA
Practice address
336 Hutchison Dr
Greenfield, CA 93927-5019
Phone
(831) 884-3381
NPI assigned
Apr 18, 2025
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X F5505311 CA Primary
Driver 172A00000X F5505311 CA

Addresses

Primary practice location

336 Hutchison Dr
Greenfield, CA 93927-5019

Mailing address

336 Hutchison Dr
Greenfield, CA 93927-5019
Phone (831) 884-3381

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
F5505311CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Oax Trans Express Non-Emergency Medical Transport (Van) Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1265228720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 HUTCHISON DR",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939275019",
            "telephone_number": "831-884-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 HUTCHISON DR",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939275019",
            "telephone_number": "831-884-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS JUAREZ",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "F5505311",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "F5505311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.