Organization Active NPI

Jackomo Transit Inc.

  • Non-emergency Medical Transport (VAN)
  • Pasadena, CA
National Provider Identifier
1316198716
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JACKOMO TRANSIT INC.
Practice address
3630 Shadow Grove Rd
Pasadena, CA 91107-2112
Phone
(626) 351-5474
Fax
(626) 351-5474
NPI assigned
Oct 3, 2008
Last updated
Oct 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Hagop Lousinian
Title
Owner
Phone
(626) 351-5474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

3630 Shadow Grove Rd
Pasadena, CA 91107-2112

Mailing address

3630 Shadow Grove Rd
Pasadena, CA 91107-2112
Phone (626) 351-5474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1316198716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SHADOW GROVE RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072112",
            "telephone_number": "626-351-5474",
            "fax_number": "626-351-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SHADOW GROVE RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072112",
            "telephone_number": "626-351-5474",
            "fax_number": "626-351-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKOMO TRANSIT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "LOUSINIAN",
        "authorized_official_first_name": "HAGOP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-351-5474"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.