Jessie Francisco Artagame

Individual provider Active NPI Driver · San Jacinto, CA

NPI 1598018145 · NPPES record last updated Oct 19, 2012

Key facts

NPI
1598018145
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
500 Hazeldell Ave
San Jacinto, CA 92582-5205
Phone
(951) 487-1077
Fax
(951) 413-0281
NPI assigned
Oct 19, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
JS Medical Transport Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

500 Hazeldell Ave
San Jacinto, CA 92582-5205

Mailing address

500 Hazeldell Ave
San Jacinto, CA 92582-5205
Phone (951) 487-1077

Other providers in San Jacinto, CA

All providers in San Jacinto, CA · Driver in California

Sources for this page

Verify at the official NPI Registry.