Organization Active NPI

Good Shepherd Ambulance LLC

  • Ambulance
  • San Gabriel, CA
National Provider Identifier
1992985733
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
GOOD SHEPHERD AMBULANCE LLC
Practice address
109 Agostino Rd
Suite 203
San Gabriel, CA 91776-2550
Phone
(626) 287-5200
NPI assigned
Nov 9, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mr. Gabriel Granados
Title
Chief Operating Officer
Phone
(626) 287-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

109 Agostino Rd
Suite 203
San Gabriel, CA 91776-2550

Mailing address

109 Agostino Rd
Suite 203
San Gabriel, CA 91776-2550
Phone (626) 287-5200

National Provider Directory

National Provider Directory

Locations

5330 Harbor St
Commerce, CA 90040
Phone (323) 633-0479

109 Agostino Rd
Ste 203
San Gabriel, CA 91776
Phone (626) 287-5200

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1992985733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AGOSTINO RD",
            "address_2": "SUITE 203",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762550",
            "telephone_number": "626-287-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 AGOSTINO RD",
            "address_2": "SUITE 203",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917762550",
            "telephone_number": "626-287-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "626-287-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

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