Individual provider Active NPI

Lazaro Samudio, NEMT

  • Non-emergency Medical Transport (VAN)
  • Wildomar, CA
National Provider Identifier
1922906205
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
35637 Susan Dr
Wildomar, CA 92595-7105
Phone
(213) 248-1603
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

35637 Susan Dr
Wildomar, CA 92595-7105

Mailing address

35637 Susan Dr
Wildomar, CA 92595-7105
Phone (213) 248-1603

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": "1793059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1922906205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35637 SUSAN DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957105",
            "telephone_number": "213-248-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35637 SUSAN DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957105",
            "telephone_number": "213-248-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUDIO",
        "first_name": "LAZARO",
        "credential": "NEMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "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 Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.