Organization Active NPI

Gogo Medical Transport Inc.

  • Non-emergency Medical Transport (VAN)
  • Rancho Cucamonga, CA
National Provider Identifier
1699230300
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GOGO MEDICAL TRANSPORT INC.
Practice address
10700 Jersey Blvd Ste 350
Rancho Cucamonga, CA 91730-5132
Phone
(909) 505-1000
NPI assigned
Feb 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

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

Authorized official

Name
Reilynn Guzman
Title
Manager
Phone
(909) 505-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

10700 Jersey Blvd Ste 350
Rancho Cucamonga, CA 91730-5132

Mailing address

PO Box 226
Etiwanda, CA 91739-0226
Phone (909) 505-1000

National Provider Directory

National Provider Directory

Locations

10700 Jersey Blvd
Ste 350
Rancho Cucamonga, CA 91730
Phone (909) 505-1000

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609545600000",
    "number": "1699230300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "ETIWANDA",
            "state": "CA",
            "postal_code": "917390226",
            "telephone_number": "909-505-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 JERSEY BLVD STE 350",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305132",
            "telephone_number": "909-505-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOGO MEDICAL TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "REILYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-505-1000"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.