Peter Enojaine Jemerigbe, MSCE, PE, PMP

Primary specialty

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

Practice address

7 W Acacia St
Suite 3D
Stockton, CA 95202-1243

Phone

(209) 918-0918

NPI assigned

Aug 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1770916199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692562",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952692562",
            "telephone_number": "209-918-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W ACACIA ST",
            "address_2": "SUITE 3D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021243",
            "telephone_number": "209-918-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMERIGBE",
        "first_name": "PETER",
        "middle_name": "ENOJAINE",
        "name_prefix": "Mr.",
        "credential": "MSCE, PE, PMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Stockton, CA
• Providers in Stockton, 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 Jul 25, 2016; 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.