Provider Demographics
NPI:1437458585
Name:GAZAY, THOMAS ROBERT (NEMT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:ROBERT
Last Name:GAZAY
Suffix:
Gender:M
Credentials:NEMT
Other - Prefix:
Other - First Name:THOMAS GAZAY
Other - Middle Name:
Other - Last Name:DBA AS JUSTGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NEMT
Mailing Address - Street 1:545 W HACIENDA AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-6528
Mailing Address - Country:US
Mailing Address - Phone:408-401-6830
Mailing Address - Fax:
Practice Address - Street 1:545 W HACIENDA AVE APT 101
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-6528
Practice Address - Country:US
Practice Address - Phone:408-401-6830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAN6113457343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)