Active NPI
Morongo Basin Ambulance Assn., Inc.
Doing business as Morongo Basin Ambulance
- Land Ambulance
- Joshua Tree, CA
National Provider Identifier
1164499877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1797
- Legal business name
- MORONGO BASIN AMBULANCE ASSN., INC.
- Doing business as
- Morongo Basin Ambulance
- Practice address
- 6335 Park Blvd
Joshua Tree, CA 92252-2370 - Phone
- (760) 366-8474
- Fax
- (760) 366-8560
- NPI assigned
- Mar 1, 2006
- Last updated
- May 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramon Lomeli
- Title
- General Manager
- Phone
- (760) 366-8474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1797 | CA | Primary |
Addresses
Primary practice location
6335 Park Blvd
Joshua Tree, CA 92252-2370
Mailing address
PO Box 460
6335 Park Blvd.
Joshua Tree, CA 92252-0460
Phone (760) 366-8474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ32958Z | Medicaid | CA |
Other names 1
- Morongo Basin Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061204000559 | CA | Part B Supplier - Ambulance Service Supplier | 6608875570 | Practice locations: Joshua Tree, CA |
National Provider Directory
National Provider DirectoryLocations
61828 Chollita Rd
Joshua Tree, CA 92252
Phone (760) 366-8474
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Specialist
- Murrieta, CA
- NPI 1295725190
-
- Specialist
- Murrieta, CA
- NPI 1487643946
-
- Interventional Cardiology Physician
- Oceanside, CA
- NPI 1982604641
-
- Interventional Cardiology Physician
- Oceanside, CA
- NPI 1285634949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337040000000",
"number": "1164499877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"address_2": "6335 PARK BLVD.",
"city": "JOSHUA TREE",
"state": "CA",
"postal_code": "922520460",
"telephone_number": "760-366-8474",
"fax_number": "760-366-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 PARK BLVD",
"city": "JOSHUA TREE",
"state": "CA",
"postal_code": "922522370",
"telephone_number": "760-366-8474",
"fax_number": "760-366-8560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORONGO BASIN AMBULANCE ASSN., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-01",
"last_updated": "2012-05-15",
"status": "A",
"authorized_official_last_name": "LOMELI",
"authorized_official_first_name": "RAMON",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "760-366-8474"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CA",
"license": "1797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ32958Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Morongo Basin Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Joshua Tree, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.