Shamrock Lodge, Inc

Primary specialty

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

License

C4747645 Issued in CA

Legal business name

SHAMROCK LODGE, INC

Practice address

17611 Shamrock Ave
Fontana, CA 92336-2233

Phone

(909) 349-1145

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Corazon Libre Daguplo

Title

President

Phone

(909) 238-9771

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1851576714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17611 SHAMROCK AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923362233",
            "telephone_number": "909-349-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17611 SHAMROCK AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923362233",
            "telephone_number": "909-349-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMROCK LODGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "DAGUPLO",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "LIBRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-238-9771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "C4747645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dampa Nikhil Shah, MD
• Sara Marie Shah, DO, MPH
• Shriraj Ashok Shah, DMD
• Halima Tasneem Shahabuddin, M.D.
• Nader Shakir, DO
• Nora Taher Shams, DDS
• Caitlyn Shankle Joy Shankle
• Yi Shao
• Faye Shapiro
• Syed Amir Sharafat

• Non-emergency Medical Transport (VAN) in Fontana, CA
• Providers in Fontana, 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 Mar 31, 2008; 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.