Stargold Medic Transport Service

Primary specialty

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

License

86522 Issued in NV

Legal business name

STARGOLD MEDIC TRANSPORT SERVICE

Practice address

1717 Stocker St
North Las Vegas, NV 89030-6870

Phone

(702) 642-4634

Fax

(702) 642-4879

NPI assigned

Apr 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alfredo Amon Pasaoa, RN

Title

Owner

Phone

(734) 626-1889

Specialties & licenses 1

Addresses

Other names 1

• STARGOLD MEDIC TRANSPORT SERVICE Doing business as

Locations

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207958400000",
    "number": "1265605083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 STOCKER ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306870",
            "telephone_number": "702-642-4634",
            "fax_number": "702-642-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 STOCKER ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306870",
            "telephone_number": "702-642-4634",
            "fax_number": "702-642-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARGOLD MEDIC TRANSPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-04-12",
        "status": "A",
        "authorized_official_last_name": "PASAOA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "AMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-626-1889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NV",
            "license": "86522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARGOLD MEDIC TRANSPORT SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Non-emergency Medical Transport (VAN) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2008; 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.