NPIMap

Organization Active NPI

Promed Medical Transportation Inc. Dba Promed Ambulance Service

  • Ambulance
  • Gardena, CA
National Provider Identifier
1104924505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1846-8368 Issued in CA
Legal business name
PROMED MEDICAL TRANSPORTATION INC. DBA PROMED AMBULANCE SERVICE
Practice address
15828 South Broadway St.,
Suite 'C'
Gardena, CA 90248-2404
Phone
(310) 767-1028
Fax
(310) 767-1058
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric Feingold
Title
General Partner
Phone
(310) 767-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1846-8368 CA Primary

Addresses

Primary practice location

15828 South Broadway St.,
Suite 'C'
Gardena, CA 90248-2404

Mailing address

15828 South Broadway St.,
Suite 'C'
Gardena, CA 90248-2404
Phone (310) 767-1028

National Provider Directory

National Provider Directory

Locations

15828 S Broadway
Ste C
Gardena, CA 90248
Phone (310) 767-1028

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104924505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15828 SOUTH BROADWAY ST.,",
            "address_2": "SUITE 'C'",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482404",
            "telephone_number": "310-767-1028",
            "fax_number": "310-767-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15828 SOUTH BROADWAY ST.,",
            "address_2": "SUITE 'C'",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482404",
            "telephone_number": "310-767-1028",
            "fax_number": "310-767-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED MEDICAL TRANSPORTATION INC. DBA PROMED AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEINGOLD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "310-767-1028"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "1846-8368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.