Individual provider Active NPI

Diego Barroso

  • Non-emergency Medical Transport (VAN)
  • Fontana, CA
National Provider Identifier
1720819840
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
D5546158 Issued in CA
Practice address
11982 Ocotillo Dr
Fontana, CA 92337-0427
Phone
(909) 997-5726
NPI assigned
Aug 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X D5546158 CA Primary

Addresses

Primary practice location

11982 Ocotillo Dr
Fontana, CA 92337-0427

Mailing address

11982 Ocotillo Dr
Fontana, CA 92337-0427
Phone (909) 997-5726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D5546158CAMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
JD Med Transportation LLC Non-Emergency Medical Transport (Van) CurrentSince Aug 11, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1720819840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11982 OCOTILLO DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370427",
            "telephone_number": "909-997-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11982 OCOTILLO DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370427",
            "telephone_number": "909-997-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROSO",
        "first_name": "DIEGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "D5546158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.