Organization Active NPI

Good Neighbor Transport, Inc.

  • Non-emergency Medical Transport (VAN)
  • Davis, CA
National Provider Identifier
1275849713
Registry record updated Aug 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0035202/10-00039629 Issued in CA
Legal business name
GOOD NEIGHBOR TRANSPORT, INC.
Practice address
4217 Vistosa St
Davis, CA 95618-7120
Phone
(530) 756-3781
NPI assigned
Aug 22, 2010
Last updated
Aug 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2010

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

Authorized official

Name
Mr. Edward Anthony Benavidez
Title
President
Phone
(530) 756-3781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0035202/10-00039629 CA Primary

Addresses

Primary practice location

4217 Vistosa St
Davis, CA 95618-7120

Mailing address

4217 Vistosa St
Davis, CA 95618-7120
Phone (530) 756-3781

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282435200000",
    "number": "1275849713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 VISTOSA ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187120",
            "telephone_number": "530-756-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 VISTOSA ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187120",
            "telephone_number": "530-756-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-22",
        "last_updated": "2010-08-22",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-756-3781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "0035202/10-00039629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; 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.