Active NPI
PRN Ambulance, LLC
- Land Ambulance
- North Hills, CA
National Provider Identifier
1104922848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PRN AMBULANCE, LLC
- Practice address
- 8928 Sepulveda Blvd
North Hills, CA 91343-4306 - Phone
- (818) 810-3600
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Meiser
- Title
- Chief Financial Officer
- Phone
- (330) 217-2652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
8928 Sepulveda Blvd
North Hills, CA 91343-4306
Mailing address
8928 Sepulveda Blvd
North Hills, CA 91343-4306
Phone (818) 810-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050629001282 | CA | Part B Supplier - Ambulance Service Supplier | 1951347962 | Practice locations: Carson, CA; Commerce, CA; Sylmar, CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
747 E 223rd St
Carson, CA 90745
Phone (707) 665-4295
1303 S Gerhart Ave
Commerce, CA 90022
Phone (707) 665-4295
2000 E 67th St
Los Angeles, CA 90001
Phone (818) 650-9113
345 S Woods Ave
Los Angeles, CA 90022
Phone (323) 780-9500
8928 Sepulveda Blvd
North Hills, CA 91343
Phone (323) 888-7750
12840 Bradley Ave
Sylmar, CA 91342
Phone (707) 665-4295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1104922848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8928 SEPULVEDA BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913434306",
"telephone_number": "818-810-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8928 SEPULVEDA BLVD",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913434306",
"telephone_number": "818-810-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRN AMBULANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A",
"authorized_official_last_name": "MEISER",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "330-217-2652"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.