Organization Active NPI

Shaw Pearson Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Adelanto, CA
National Provider Identifier
1780139568
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
00405356 Issued in CA
Legal business name
SHAW PEARSON TRANSPORT LLC
Practice address
11150 Addison St
Adelanto, CA 92301-4616
Phone
(760) 530-7590
Fax
(760) 530-7591
NPI assigned
Aug 22, 2016
Last updated
Aug 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Authorized official

Name
Toni Shaw
Title
President
Phone
(760) 530-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 00405356 CA Primary

Addresses

Primary practice location

11150 Addison St
Adelanto, CA 92301-4616

Mailing address

P.O Box 1238
Adelanto, CA 92301
Phone (760) 530-7590

Other identifiers 1

IdentifierTypeStateIssuer
00405356OtherCA LICENSE #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1780139568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 1238",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "92301",
            "telephone_number": "760-530-7590",
            "fax_number": "760-530-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 ADDISON ST",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923014616",
            "telephone_number": "760-530-7590",
            "fax_number": "760-530-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW PEARSON TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-530-7590"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "00405356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE #",
            "identifier": "00405356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelanto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.