Good Samaritan Transport, LLC.

Primary specialty

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

License

A4509324 Issued in CA

Legal business name

GOOD SAMARITAN TRANSPORT, LLC.

Practice address

16357 Walnut St
Hesperia, CA 92345-3623

Phone

(760) 680-8154

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Joe Olague

Title

Owner

Phone

(760) 680-8154

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Olague

  • Driver
  • Hesperia, CA
  • NPI 1285171595
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1639616824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16357 WALNUT ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453623",
            "telephone_number": "760-680-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16357 WALNUT ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453623",
            "telephone_number": "760-680-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN TRANSPORT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "OLAGUE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-680-8154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "A4509324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-EMERGENCY MEDICAL TRANSPORT",
            "identifier": "343900000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anibal Gonzalez
• Genesses Yamille Gonzalez
• Marybel Gonzalez, LMFT
• Rosanne Bean Gonzalez
• Stephanie Gonzalez
• Alura Gooden
• Todd Goulding
• Eva Masheli Gowdy
• Grace Medi Transport
• Cassandra L Grafius

• Non-emergency Medical Transport (VAN) in Hesperia, CA
• Providers in Hesperia, 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 Jan 25, 2017; 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.