Organization Active NPI

Superior Nemt

  • Private Vehicle
  • San Jose, CA
National Provider Identifier
1710669569
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
SUPERIOR NEMT
Practice address
868 S 5TH St Apt 354
San Jose, CA 95112-5970
Phone
(408) 355-8609
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Yohana GedamNPI 1013699974
Title
Owner
Phone
(408) 355-8609

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

868 S 5TH St Apt 354
San Jose, CA 95112-5970

Mailing address

868 S 5TH St Apt 354
San Jose, CA 95112-5970

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1710669569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 S 5TH ST APT 354",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 S 5TH ST APT 354",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125970",
            "telephone_number": "408-355-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR NEMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "GEDAM",
        "authorized_official_first_name": "YOHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-355-8609"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.