Fredrick Argueta Jr., MEDICAL DRIVER

Primary specialty

DriverTaxonomy code 172A00000X

License

F4310521 Issued in CA

Practice address

2666 Gateway Dr
Anderson, CA 96007-3530

Phone

(505) 803-2370

NPI assigned

Dec 9, 2022

Sex

Male

Sole proprietor

Yes

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.

• Grace on Wheels LLC

  • Non-emergency Medical Transport (VAN)
  • Redding, CA
  • NPI 1053198135
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2022.

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1720799745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 GATEWAY DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073530",
            "telephone_number": "505-803-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 GATEWAY DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073530",
            "telephone_number": "505-803-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUETA",
        "first_name": "FREDRICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MEDICAL DRIVER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "F4310521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Medical Associates
• Anderson Union High School District
• Laura Anderson
• Andersonrx Inc
• Andersonrx LTC
• Lauren S Armstrong, RN
• Susan Rae Ault, FNP
• Brian S. Baas, PT
• Rachna Badlani
• Joanne M Bales, O.T.R.

• All providers in Anderson, CA
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.