Medfleet Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1867 Issued in CA

Legal business name

MEDFLEET AMBULANCE SERVICE INC

Practice address

9960 Campo Rd
105
Spring Valley, CA 91977-1605

Phone

(619) 222-2244

Fax

(619) 222-2843

NPI assigned

Jul 25, 2006

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Lydell Gibson

Title

President Ceo

Phone

(619) 222-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1003838046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 CAMPO RD",
            "address_2": "105",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771605",
            "telephone_number": "619-222-2244",
            "fax_number": "619-222-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 CAMPO RD",
            "address_2": "105",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919771605",
            "telephone_number": "619-222-2244",
            "fax_number": "619-222-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFLEET AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LYDELL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "619-222-2244"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01176F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.