Organization Active NPI

PRN Ambulance, LLC

  • Land Ambulance
  • North Hills, CA
National Provider Identifier
1104922848
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Jul 11, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20050629001282 CA Part B Supplier - Ambulance Service Supplier 1951347962 Practice locations: Carson, CA; Commerce, CA; Sylmar, CA

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.