GLEN PENDERGRASS
NPI 1558847814
Non-emergency Medical Transport (VAN) in Lemoore, CA

Q: What is Glen Pendergrass's NPI number?

The NPI number for Glen Pendergrass is 1558847814. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Q: What is Glen Pendergrass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glen Pendergrass was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2018

16358 JACKSON AVE, LEMOORE, CA 93245(559) 362-0624 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Glen Pendergrass NPPES

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

GLEN PENDERGRASS (NPI 1558847814) is an individual non-emergency medical transport (van) provider in Lemoore, California and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1558847814

Entity TypeIndividualMale

Primary Taxonomy343900000X

Provider Legal NameGLEN PENDERGRASS

Location Address16358 JACKSON AVELemoore, CA 93245-9140

Mailing Address16358 Jackson AveLemoore, CA 93245-9140 · (559) 362-0624

Phone(559) 362-0624

Sole ProprietorYes

Enumeration DateJuly 19, 2018

✔ NPI 1558847814 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.

16358 JACKSON AVE, Lemoore, CA 93245

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

SHUTTLE COMFORT LLC

Non-emergency Medical Transport (VAN)

16358 JACKSON AVE
LEMOORE, CA 93245

Kings County (559) 362-0624

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 Glen Pendergrass's NPI number?

The NPI number for Glen Pendergrass is 1558847814. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Glen Pendergrass located?

Glen Pendergrass practices at 16358 Jackson Ave, Lemoore, CA 93245. The listed phone number is (559) 362-0624.

What is Glen Pendergrass'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 Glen Pendergrass was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.