Individual provider Active NPI

Jasmin Valdez Larson

  • Non-emergency Medical Transport (VAN)
  • Antioch, CA
National Provider Identifier
1265771653
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
3006478 Issued in CA
Practice address
3512 Meadowbrook Rd
Antioch, CA 94509-5955
Phone
(925) 338-4446
Fax
(925) 238-0827
NPI assigned
Feb 5, 2013
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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 3006478 CA Primary

Addresses

Primary practice location

3512 Meadowbrook Rd
Antioch, CA 94509-5955

Mailing address

3512 Meadowbrook Rd
Antioch, CA 94509-5955
Phone (925) 338-4446

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
3006478CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1265771653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 MEADOWBROOK RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095955",
            "telephone_number": "925-338-4446",
            "fax_number": "925-238-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 MEADOWBROOK RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095955",
            "telephone_number": "925-338-4446",
            "fax_number": "925-238-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JASMIN",
        "middle_name": "VALDEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "3006478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.