Organization Active NPI

Morongo Basin Ambulance Assn., Inc.

Doing business as Morongo Basin Ambulance

  • Land Ambulance
  • Joshua Tree, CA
National Provider Identifier
1164499877
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1797 Issued in CA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ32958ZMedicaidCA

Other names 1

  • Morongo Basin Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061204000559 CA Part B Supplier - Ambulance Service Supplier 6608875570 Practice locations: Joshua Tree, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.