Individual provider Active NPI

Joaquina Shinn

  • Non-emergency Medical Transport (VAN)
  • Los Angeles, CA
National Provider Identifier
1821456617
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
3920 Eagle Rock Blvd Ste C
Los Angeles, CA 90065-3668
Phone
(323) 474-6070
Fax
(323) 474-6066
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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 Primary

Addresses

Primary practice location

3920 Eagle Rock Blvd Ste C
Los Angeles, CA 90065-3668

Mailing address

3920 Eagle Rock Blvd Ste C
Los Angeles, CA 90065-3668
Phone (323) 474-6070

Other identifiers 1

IdentifierTypeStateIssuer
47-4026640OtherCAORGANIZATION

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jstar Home Care Inc. Current Accepting new patients
Golden Van Rides Inc. Non-Emergency Medical Transport (Van) Current Accepting new patients

Locations

3920 Eagle Rock Blvd
Ste C
Los Angeles, CA 90065
Phone (323) 256-3800

4736 Eagle Rock Blvd
Ste B
Los Angeles, CA 90041

Organizations & group practices 2

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1821456617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 EAGLE ROCK BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653668",
            "telephone_number": "323-474-6070",
            "fax_number": "323-474-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 EAGLE ROCK BLVD STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653668",
            "telephone_number": "323-474-6070",
            "fax_number": "323-474-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "JOAQUINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION",
            "identifier": "47-4026640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.