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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JS Medical Transport | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.