Individual provider Active NPI

James Ryan Teano De Luna

  • Non-emergency Medical Transport (VAN)
  • Vallejo, CA
National Provider Identifier
1801212972
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
538 Sonoma Blvd
Vallejo, CA 94590-7733
Phone
(707) 334-3455
NPI assigned
Mar 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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 CA Primary

Addresses

Primary practice location

538 Sonoma Blvd
Vallejo, CA 94590-7733

Mailing address

538 Sonoma Blvd
Vallejo, CA 94590-7733
Phone (707) 334-3455

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1801212972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945907733",
            "telephone_number": "707-334-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 SONOMA BLVD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945907733",
            "telephone_number": "707-334-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUNA",
        "first_name": "JAMES RYAN",
        "middle_name": "TEANO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.