Ambuserve, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

AMBUSERVE, INC.

Practice address

15105 S Broadway St
Gardena, CA 90248-1821

Phone

(310) 644-0500

Fax

(310) 644-4500

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Harris

Title

Owner

Phone

(310) 644-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shoreline Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Rescue Services International, LTD

  • Land Ambulance
  • Irwindale, CA
  • NPI 1912907262

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003855883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 S BROADWAY ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902481821",
            "telephone_number": "310-644-0500",
            "fax_number": "310-644-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 S BROADWAY ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902481821",
            "telephone_number": "310-644-0500",
            "fax_number": "310-644-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBUSERVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-644-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01113F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esmeralda Socorro Amaya, M.S
• Ronny David Amaya
• Velvet Amaya
• Jocelyn Degamo Amba
• Esmeralda Ambario
• Ameribest Hospice Inc
• American Current Care of California, a Medical Corporation
• American Current Care of California, a Medical Corporation
• American Drug Recovery Program Inc.
• American Support Group

• All providers in Gardena, CA
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.