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MR. JACK BOOKER ANDERSON II
NPI 1215507983
Non-emergency Medical Transport (VAN) in Gardena, CA

Active since June 25, 2021
879 W 190TH ST STE 400, GARDENA, CA 90248(310) 887-6382 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2023, Jun 25, 2021 (2 updates tracked since 2021).

About Mr. Jack Booker Anderson Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK BOOKER ANDERSON II (NPI 1215507983) is an individual non-emergency medical transport (van) provider in Gardena, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1215507983
Entity TypeIndividualMale
Primary Taxonomy343900000X
Provider Legal NameMR. JACK BOOKER ANDERSON II
Location Address879 W 190TH ST STE 400Gardena, CA 90248-4223
Mailing AddressPo Box 470323Los Angeles, CA 90047-0323 · (310) 490-7570
Phone(310) 887-6382
Sole ProprietorYes
Enumeration DateJune 25, 2021
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1215507983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition

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.

879 W 190TH ST STE 400, Gardena, CA 90248
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA RIVERA RBT
Assistant Behavior Analyst
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (310) 692-4229
MOLLY ALEXIS PATAPOFF
Behavior Analyst
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (562) 556-0410
NENETT GARCIA
Assistant Behavior Analyst
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (310) 692-4229
MARIA YADIRA GOMEZ
Assistant Behavior Analyst
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (310) 692-4229
ERIKA EGBERT BS
Behavior Technician
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (310) 692-4229
SAMANTHA BERRIOS RBT
Behavior Technician
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (310) 692-4229
ROBBIN K BEOHOUROU MS, LMFT
Marriage & Family Therapist
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (424) 234-2764
MELISSA MARTINEZ
Assistant Behavior Analyst
879 W 190TH ST STE 400
GARDENA, CA 90248
Los Angeles County (310) 692-4229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Anderson's NPI number?

The NPI number for Jack Anderson is 1215507983. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Jack Anderson located?

Jack Anderson practices at 879 W 190th St Ste 400, Gardena, CA 90248. The listed phone number is (310) 887-6382.

What is Jack Anderson's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Jack Anderson was last updated on February 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.