What is Glen Pendergrass's NPI number?

Glen Pendergrass's National Provider Identifier (NPI) is 1558847814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Glen Pendergrass's specialty?

Glen Pendergrass is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) (Transportation Services).

Where is Glen Pendergrass located?

Glen Pendergrass's practice location on file with NPPES is 16358 Jackson Ave, Lemoore, CA 93245-9140.

What is Glen Pendergrass's phone number?

The practice phone number listed in the NPPES registry for Glen Pendergrass is (559) 362-0624.

Is Glen Pendergrass's NPI active?

Yes — Glen Pendergrass's NPI (1558847814) is active in the NPPES registry as of the last update on 2018-07-19.

IndividualActive

Glen Pendergrass

NPI 1558847814 · Non-emergency Medical Transport (VAN) · Lemoore, CA

Glen Pendergrass is a Non-emergency Medical Transport (VAN) provider in Lemoore, CA (NPI 1558847814).

Provider details

NPI number: 1558847814
Entity type: Individual
Primary specialty: Non-emergency Medical Transport (VAN)Transportation Services
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Non-emergency Medical Transport (VAN)Primary343900000X
Transportation Services

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

16358 Jackson Ave

Lemoore, CA 93245-9140

Phone: (559) 362-0624

Street-level locationGet directions

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Mailing address