NPIMap

Organization Active NPI

Heartland Paramedics-Csa 69 County Service Area 69 EMS

  • Ambulance
  • San Diego, CA
National Provider Identifier
1144386111
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HEARTLAND PARAMEDICS-CSA 69 COUNTY SERVICE AREA 69 EMS
Practice address
5510 Overland Ave Ste 250
San Diego, CA 92123-1239
Phone
(619) 285-6429
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Andrew Dormann Parr
Title
EMS Adminnistrator
Phone
(858) 245-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

5510 Overland Ave Ste 250
San Diego, CA 92123-1239

Mailing address

5510 Overland Ave Ste 250
San Diego, CA 92123-1239
Phone (619) 285-6429

Other identifiers 1

IdentifierTypeStateIssuer
MTE00993FMedicaidCA

Other names 1

  • Lakeside-Santee Ambulance Service Doing business as

National Provider Directory

National Provider Directory

Locations

8950 Cottonwood Ave
Santee, CA 92071
Phone (619) 258-4100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1144386111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 OVERLAND AVE STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231239",
            "telephone_number": "619-285-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 OVERLAND AVE STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231239",
            "telephone_number": "619-285-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PARAMEDICS-CSA 69 COUNTY SERVICE AREA 69 EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "PARR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DORMANN",
        "authorized_official_title_or_position": "EMS ADMINNISTRATOR",
        "authorized_official_telephone_number": "858-245-4231"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00993F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside-Santee Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside-Santee Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.