American Medical Response Ambulance Service Inc
Organization Active NPI Ambulance · Moorpark, CA
NPI 1184732091 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1184732091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC
- Practice address
- 616 Fitch Ave
Moorpark, CA 93021-2060 - Phone
- (805) 517-2010
- Fax
- (805) 517-2035
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy Joseph Dorn
- Title
- Chief Administrative Officer
- Phone
- (833) 703-2294
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 17
Practitioners 1
-
Charles Drehsen, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050809000279 | CA | Part B Supplier - Ambulance Service Supplier | 8729992615 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Menifee, CA; El Centro, CA; San Diego, CA; Moorpark, CA; Riverside, CA |
National Provider Directory
- Tax ID family
- Med Trans of Montana
Locations
616 Fitch Ave
Moorpark, CA 93021
Phone (805) 517-2010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
616 Fitch Ave
Moorpark, CA 93021-2060
Mailing address
PO Box 55418
Los Angeles, CA 90074-5418
Phone (800) 913-9106
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184732091 | Medicaid | CA |
Other names
- American Medical Response
Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.