Ivan Gonzalo Marin Arguedas

Primary specialty

DriverTaxonomy code 172A00000X

License

D5748643 Issued in CA

Practice address

10583 Redwood Ave
Hesperia, CA 92345-2430

Phone

(909) 244-4741

NPI assigned

Jan 10, 2025

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Class Non-Emergency Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Hesperia, CA
  • NPI 1306781604
  NPD Authorized official

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1356151468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10583 REDWOOD AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452430",
            "telephone_number": "909-244-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10583 REDWOOD AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452430",
            "telephone_number": "909-244-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN ARGUEDAS",
        "first_name": "IVAN",
        "middle_name": "GONZALO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "D5748643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarence R Mann
• Kimberly Manzo
• Maria Barnes
• Maria Lopez Transportation LLC
• Marifi M. Pipkin Dental Corporation (Hometown Dental)
• Cheryl L. Marino, FNP
• Alexander Marnoff, PHARMD
• Jocelyn Marquez
• Sandra Marquez
• Valerie Marshall, MBA GERONTOLOGY

• Driver in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.