Active NPI
Mercy Medical Transportation, Inc.
Doing business as Westmed SCC
- Land Ambulance
- Sunnyvale, CA
National Provider Identifier
1184779225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- A195
- Legal business name
- MERCY MEDICAL TRANSPORTATION, INC.
- Doing business as
- Westmed SCC
- Practice address
- 1230 Alderwood Ave
Sunnyvale, CA 94089-2201 - Phone
- (510) 614-1423
- Fax
- (510) 614-1420
- NPI assigned
- Jan 25, 2007
- Organization subpart
- Yes
- Parent organization
- MERCY MEDICAL TRANSPORTATION, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Fred Roesch, CEO
- Title
- President
- Phone
- (800) 456-7142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | A195 | CA | Primary |
Addresses
Primary practice location
1230 Alderwood Ave
Sunnyvale, CA 94089-2201
Mailing address
PO Box 5004
Mariposa, CA 95338-5004
Phone (209) 742-5286
Other names 1
- Westmed SCC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040429000632 | CA | Part B Supplier - Ambulance Service Supplier | 9335136480 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mariposa, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Mercy Medical Transportation Inc
Locations
1230 Alderwood Ave
Sunnyvale, CA 94089
Phone (209) 966-4294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1184779225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5004",
"city": "MARIPOSA",
"state": "CA",
"postal_code": "953385004",
"telephone_number": "209-742-5286",
"fax_number": "209-966-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 ALDERWOOD AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940892201",
"telephone_number": "510-614-1423",
"fax_number": "510-614-1420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY MEDICAL TRANSPORTATION, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY MEDICAL TRANSPORTATION, INC.",
"enumeration_date": "2007-01-25",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "ROESCH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "FRED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-456-7142",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CA",
"license": "A195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Westmed SCC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.