Organization Active NPI

Agustin Supplies & Services Inc

  • Non-emergency Medical Transport (VAN)
  • Garden Grove, CA
National Provider Identifier
1992945018
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
BUS2009-00739 Issued in CA
Legal business name
AGUSTIN SUPPLIES & SERVICES INC
Practice address
13281 Harbor Blvd
Garden Grove, CA 92843-1719
Phone
(714) 281-5932
Fax
(714) 281-5932
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Miss Gizelle Es. Gonzales, RN
Title
Vice President
Phone
(714) 281-5932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X BUS2009-00739 CA Primary

Addresses

Primary practice location

13281 Harbor Blvd
Garden Grove, CA 92843-1719

Mailing address

13281 Harbor Blvd
Garden Grove, CA 92843-1719
Phone (714) 281-5932

National Provider Directory

National Provider Directory

Locations

13281 Harbor Blvd
Garden Grove, CA 92843
Phone (714) 281-5932

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1992945018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13281 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431719",
            "telephone_number": "714-281-5932",
            "fax_number": "714-281-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13281 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431719",
            "telephone_number": "714-281-5932",
            "fax_number": "714-281-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUSTIN SUPPLIES & SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "GIZELLE",
        "authorized_official_middle_name": "ES.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-281-5932",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "BUS2009-00739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.