Organization Active NPI

Sierra Ambulance Service Inc.

  • Land Ambulance
  • Oakhurst, CA
National Provider Identifier
1225011216
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
117510-7266 Issued in CA
Legal business name
SIERRA AMBULANCE SERVICE INC.
Practice address
40755 Winding Way
Oakhurst, CA 93644-9439
Phone
(559) 642-0650
Fax
(559) 683-7200
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Aaron D Sundstrom
Title
Executive Director
Phone
(559) 475-9821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 117510-7266 CA Primary

Addresses

Primary practice location

40755 Winding Way
Oakhurst, CA 93644-9439

Mailing address

PO Box 2307
Oakhurst, CA 93644-2307
Phone (559) 642-0650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000523 CA Part B Supplier - Ambulance Service Supplier 7416117734 Practice locations: Oakhurst, CA

National Provider Directory

National Provider Directory

Locations

40327 Stagecoach Rd
Ste 2B
Oakhurst, CA 93644
Phone (209) 642-0650

40755 Winding Way
Oakhurst, CA 93644
Phone (559) 642-0650

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1225011216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2307",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936442307",
            "telephone_number": "559-642-0650",
            "fax_number": "559-683-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40755 WINDING WAY",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449439",
            "telephone_number": "559-642-0650",
            "fax_number": "559-683-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SUNDSTROM",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-475-9821"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "117510-7266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.