Organization Active NPI

Outreach & Escort, Inc.

  • Non-emergency Medical Transport (VAN)
  • San Jose, CA
National Provider Identifier
1366227613
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
OUTREACH & ESCORT, INC.
Practice address
2221 Oakland Rd Ste 200
San Jose, CA 95131-1415
Phone
(408) 678-8585
NPI assigned
Aug 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Mr. Marvin Custodio
Title
Ceo
Phone
(408) 678-8585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

2221 Oakland Rd Ste 200
San Jose, CA 95131-1415

Mailing address

2221 Oakland Rd Ste 200
San Jose, CA 95131-1415
Phone (408) 678-8585

National Provider Directory

National Provider Directory

Locations

2221 Oakland Rd
Ste 200
San Jose, CA 95131
Phone (408) 678-8585

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1366227613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 OAKLAND RD STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311415",
            "telephone_number": "408-678-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 OAKLAND RD STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311415",
            "telephone_number": "408-678-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH & ESCORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "CUSTODIO",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-678-8585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.