Emergency Medivac Services, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

EMERGENCY MEDIVAC SERVICES, LLC

Practice address

925 B St
#102
San Diego, CA 92101-4616

Phone

(619) 342-7408

Fax

(610) 342-7410

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Paul G Berner

Title

Member Manager

Phone

(858) 245-9762

Specialties & licenses 1

Addresses

Other names 1

• AviaMedix Doing business as

Locations

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1184962334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 B ST",
            "address_2": "#102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014616",
            "telephone_number": "619-342-7408",
            "fax_number": "619-342-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 B ST",
            "address_2": "#102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014616",
            "telephone_number": "619-342-7408",
            "fax_number": "610-342-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDIVAC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "858-245-9762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AviaMedix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Air Ambulance in San Diego, CA
• Providers in San Diego, CA by specialty
• Air Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.