Individual provider Active NPI

Jesusito A Pintor

  • Non-emergency Medical Transport (VAN)
  • Stockton, CA
National Provider Identifier
1366739963
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B4734322 Issued in CA
Practice address
1045 N El Dorado St
Ste 10B
Stockton, CA 95202-1323
Phone
(209) 948-1566
Fax
(209) 948-3002
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B4734322 CA Primary

Addresses

Primary practice location

1045 N El Dorado St
Ste 10B
Stockton, CA 95202-1323

Mailing address

1045 N El Dorado St
Ste 10B
Stockton, CA 95202-1323
Phone (209) 948-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
B4734322CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333152000000",
    "number": "1366739963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N EL DORADO ST",
            "address_2": "STE 10B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021323",
            "telephone_number": "209-948-1566",
            "fax_number": "209-948-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N EL DORADO ST",
            "address_2": "STE 10B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021323",
            "telephone_number": "209-948-1566",
            "fax_number": "209-948-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTOR",
        "first_name": "JESUSITO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2012-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "B4734322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; 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.