Active NPI
Nepthali Munoz Pacheco
- Non-emergency Medical Transport (VAN)
- Stockton, CA
National Provider Identifier
1831447184
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 13-00111146
- Practice address
- 1023 Burns Way
Stockton, CA 95209-2634 - Phone
- (209) 938-8956
- NPI assigned
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 13-00111146 | CA | Primary |
Addresses
Primary practice location
1023 Burns Way
Stockton, CA 95209-2634
Mailing address
1023 Burns Way
Stockton, CA 95209-2634
Phone (209) 938-8956
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-00111146 | CA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1831447184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 BURNS WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092634",
"telephone_number": "209-938-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 BURNS WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092634",
"telephone_number": "209-938-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "NEPTHALI",
"middle_name": "MUNOZ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "13-00111146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
- Cesar Cosme Pabustan, M.D.
- Alyssa Pacheco
- Bessy Varinia Pacheco
- Gustavo Pacheco Jr.
- Moses Pacheco III
- Teresita Cafirma Pacheco
- Pacific Center for Addiction Services Inc.
- Pacific Coast Medical Center Incorporated a Professional Corporation
- Pacific Coast Services Inc. (Pacific Homecare Services Inc.)
- Pacific Compounding Pharmacy and Consultations, Inc. (Pacific Compunding Pharmacy and Consultations)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.