Shelton Ray Lynch

Primary specialty

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

License

N5292808 Issued in CA

Practice address

2907 Lake Breeze CT
Spring Valley, CA 91977-3474

Phone

(619) 993-0646

NPI assigned

Nov 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1386418317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 LAKE BREEZE CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773474",
            "telephone_number": "619-993-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 LAKE BREEZE CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773474",
            "telephone_number": "619-993-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SHELTON",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "CA",
            "license": "N5292808",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "N5292808",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "CA",
            "license": "N5292808",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "N5292808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Issai Lopez
• Mario Alberto Lopez, PA-C
• Yesenia Lopez
• Luxecare LLC
• Irene Luy
• James George Maccoll, RN
• Yessenia Yasmin Machado-Rosselle
• Melissa Marilyn Macy, D.O.
• Nancy Sami Maroki, DDS
• Melissa Martel, ASW

• Non-emergency Medical Transport (VAN) in Spring Valley, CA
• Providers in Spring Valley, 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 Dec 6, 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.