MR. LESSIE THOMAS PHILPOT JR. (NPI# 1255955522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255955522 |
| Entity Type | Individual |
| Full Name | MR. LESSIE THOMAS PHILPOT JR. |
| Practice Address |
228 E 34th St San Bernardino CA 92404-2204 |
| Mailing Address |
2130 N Arrowhead Ave Ste 101i San Bernardino CA 92405-4023 |
| Practice Telephone | 7732436473 |
| Mailing Telephone | 7732436473 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
228 E 34TH ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143295 | Darwin Racar Dave | Non-emergency Medical Transport (VAN) | 205 E Kimberly Ct, San Bernardino, CA 92408-4187 | 2020-01-14 |
| 1689213274 | Vega Transport Ca LLC | Non-emergency Medical Transport (VAN) | 275 W Hospitality Ln Ste 322, San Bernardino, CA 92408-3265 | 2019-12-30 |
| 1871059683 | Hubert Lee Rucker Jr. | Non-emergency Medical Transport (VAN) | 2921 Split Mountain Ln, San Bernardino, CA 92407-5190 | 2019-02-17 |
| 1659842714 | Medie Pizarro Valdez | Non-emergency Medical Transport (VAN) | 1992 N Kenwood Ave, San Bernardino, CA 92404-4942 | 2018-12-16 |
| 1801391412 | Isaiah Amores | Non-emergency Medical Transport (VAN) | 6942 Jasmine Ct, San Bernardino, CA 92407-1929 | 2018-03-26 |
| 1932613098 | Lightning Medical Transport | Non-emergency Medical Transport (VAN) | 2333 Genevieve St, San Bernardino, CA 92405-3507 | 2017-11-28 |
| 1649781022 | Humanity Inc | Non-emergency Medical Transport (VAN) | 2367 Sterling Ave, San Bernardino, CA 92404-4623 | 2017-10-12 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1750816617 | Waheed Majeed | Non-emergency Medical Transport (VAN) | 1504 Creekside Dr, San Bernardino, CA 92407-2844 | 2017-04-27 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.