Individual provider Active NPI

Kumaran Segaran Gaunder

  • Non-emergency Medical Transport (VAN)
  • Pittsburg, CA
National Provider Identifier
1902955404
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
2151 Piedmont Way
Ste B
Pittsburg, CA 94565-5017
Phone
(925) 439-7500
Fax
(925) 439-1227
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

2151 Piedmont Way
Ste B
Pittsburg, CA 94565-5017

Mailing address

2151 Piedmont Way
Ste B
Pittsburg, CA 94565-5017
Phone (925) 439-7500

Other identifiers 1

IdentifierTypeStateIssuer
MTN01087FMedicaidCA

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

State licenses

LicenseStateTypeSpecialty
943413970CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902955404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 PIEDMONT WAY",
            "address_2": "STE B",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655017",
            "telephone_number": "925-439-7500",
            "fax_number": "925-439-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 PIEDMONT WAY",
            "address_2": "STE B",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655017",
            "telephone_number": "925-439-7500",
            "fax_number": "925-439-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUNDER",
        "first_name": "KUMARAN",
        "middle_name": "SEGARAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01087F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.