Juan Illesca

Primary specialty

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

License

277 Issued in VA

Practice address

22054 Shaw Rd
Ste H
Sterling, VA 20164-9321

Phone

(571) 268-9858

Fax

(571) 313-1147

NPI assigned

May 13, 2016

Last updated

May 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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.

• DMV Transport Inc

  • Transportation Network Company
  • Ashburn, VA
  • NPI 1104690973
  NPD
• Ossac Transportation LLC

  • Transportation Network Company
  • Sterling, VA
  • NPI 1609640762
  NPD

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1447606991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22054 SHAW RD",
            "address_2": "STE H",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201649321",
            "telephone_number": "571-268-9858",
            "fax_number": "571-313-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22054 SHAW RD",
            "address_2": "STE H",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201649321",
            "telephone_number": "571-268-9858",
            "fax_number": "571-313-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLESCA",
        "first_name": "JUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Vanessa Ibarra Cortez
• Caroline Ibrahim, PSY.D.
• Ibwii Group LLC (Talem Home Care & Placement Services)
• Crystal Icenhour, PHD
• Maxine Iida, LPC
• Aisha Imtiaz
• In-Home Healthcare Agency LLC
• Industrial Health
• Injury Care Services, Inc
• Inova Blood Donor Services

• Non-emergency Medical Transport (VAN) in Sterling, VA
• Providers in Sterling, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.