Organization Active NPI

Frontline Ambulance LLC

  • Ambulance
  • Garden Grove, CA
National Provider Identifier
1134879877
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
FRONTLINE AMBULANCE LLC
Practice address
12862 Garden Grove Blvd Ste H
Garden Grove, CA 92843-2021
Phone
(619) 947-9606
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mr. Talmadge Cline
Title
President/Ceo
Phone
(619) 947-9606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

12862 Garden Grove Blvd Ste H
Garden Grove, CA 92843-2021

Mailing address

5 Brayton CT
Ladera Ranch, CA 92694-1359
Phone (619) 947-9606

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1710374715 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213001646 CA Part B Supplier - Ambulance Service Supplier 2062884463 Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

12862 Garden Grove Blvd
Ste H
Garden Grove, CA 92843
Phone (619) 947-9606

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1134879877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRAYTON CT",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941359",
            "telephone_number": "619-947-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12862 GARDEN GROVE BLVD STE H",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432021",
            "telephone_number": "619-947-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "TALMADGE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-947-9606",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1710374715",
            "affiliation": "N",
            "endpointDescription": "Mission Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12862 Garden Grove Blvd Ste H",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928432021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.