Medic Shuttle, LLC

Primary specialty

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

Legal business name

MEDIC SHUTTLE, LLC

Practice address

3700 Delta Fair Blvd Ste 201C
Antioch, CA 94509-4073

Phone

(925) 291-6599

Fax

(888) 884-5585

NPI assigned

Oct 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Pramila Devi Gaunder

Title

Managing Member

Phone

(925) 525-9483

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295988905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE 201C",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094073",
            "telephone_number": "925-525-9483",
            "fax_number": "925-228-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE 201C",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094073",
            "telephone_number": "925-291-6599",
            "fax_number": "888-884-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Delta Fair Blvd Ste 201C",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094073",
            "country_code": "US",
            "telephone_number": "925-291-6599",
            "fax_number": "888-884-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDIC SHUTTLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAUNDER",
        "authorized_official_first_name": "PRAMILA",
        "authorized_official_middle_name": "DEVI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "925-525-9483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Antioch, CA
• Providers in Antioch, 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 Jul 21, 2022; 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.