Active NPI
Agustin Supplies & Services Inc
- Non-emergency Medical Transport (VAN)
- Garden Grove, CA
National Provider Identifier
1992945018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- BUS2009-00739
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.