Healthcare Provider Details

I. General information

NPI: 1649163304
Provider Name (Legal Business Name): PINNACLE TAX SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1496 ALMADEN RD APT 3371496
SAN JOSE CA
95125-1276
US

IV. Provider business mailing address

1496 ALMADEN RD APT 337
SAN JOSE CA
95125-1285
US

V. Phone/Fax

Practice location:
  • Phone: 408-425-4409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ROMAN ALEXANDER PENNIX
Title or Position: OWNER/OPERATOR
Credential:
Phone: 408-425-4409