Del Norte Ambulance, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

DEL NORTE AMBULANCE, INC.

Practice address

2600 Moorehead Rd
Crescent City, CA 95531-7904

Phone

(707) 487-1116

Fax

(707) 487-3116

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ronald L Sandler

Title

Ceo

Phone

(707) 487-1116

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1013908367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955310306",
            "telephone_number": "707-487-1116",
            "fax_number": "707-487-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MOOREHEAD RD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955317904",
            "telephone_number": "707-487-1116",
            "fax_number": "707-487-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL NORTE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-487-1116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124560",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTA00613F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00490F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232496",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A Davis, LCSW
• Brenda Davis, LCSW
• Sheila Jean Davis
• Windy Davis
• Christine Day
• Del Norte Association for Developmental Services
• Del Norte County Mental Health
• Del Norte County Unified School District
• Del Norte Healthcare District
• Del Norte LLC

• Ambulance in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.