Arcata-Mad River Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ARCATA-MAD RIVER AMBULANCE LLC

Practice address

220 F St
Arcata, CA 95521-6616

Phone

(707) 822-3353

Fax

(707) 822-9628

NPI assigned

Nov 15, 2017

Last updated

Sep 15, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

ARCATA-MAD RIVER AMBULANCE LLCAs reported in NPPES

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

Authorized official

Name

Timothy Joseph Dorn

Title

Chief Administrative Officer

Phone

(833) 703-2294

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Arcata-Mad River Ambulance LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Arcata-Mad River Ambulance

  • Ambulance
  • Arcata, CA
  • NPI 1184603235
  NPPES parent name

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1114430998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742464",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742464",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 F ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216616",
            "telephone_number": "707-822-3353",
            "fax_number": "707-822-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCATA-MAD RIVER AMBULANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCATA-MAD RIVER AMBULANCE LLC",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Henri Appy, O.D.
• Arcata Communitylife Medical Center
• Arcata House Partnership
• Arcata School District
• Arcata-Mad River Ambulance
• Dawn Arroyo
• James D Athing, D.C.
• Steven Elais Aussenberg, M.D.
• Krista Austin
• Angela Averitt

• Land Ambulance in Arcata, CA
• Providers in Arcata, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.