Organization Active NPI

Royal Ambulance, LLC

  • Land Ambulance
  • San Leandro, CA
National Provider Identifier
1225176050
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1889 Issued in CA
Legal business name
ROYAL AMBULANCE, LLC
Practice address
14472 Wicks Blvd
San Leandro, CA 94577-6712
Phone
(510) 568-6161
Fax
(510) 568-6160
NPI assigned
Feb 2, 2007
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Mr. Steve Grau
Title
Ceo/Owner
Phone
(510) 568-6161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1889 CA Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

14472 Wicks Blvd
San Leandro, CA 94577-6712

Mailing address

14472 Wicks Blvd
San Leandro, CA 94577-6712
Phone (510) 568-6161

Other identifiers 1

IdentifierTypeStateIssuer
MTE01212FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060220000335 CA Part B Supplier - Ambulance Service Supplier 8820003338 Practice locations: San Leandro, CA; San Jose, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2306708Royal Ambulance Inc14472 Wicks Blvd, San Leandro, CA 94577Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1191 N 5th St
San Jose, CA 95112
Phone (510) 568-6161

14472 Wicks Blvd
San Leandro, CA 94577
Phone (510) 568-6161

728 Whitney St
San Leandro, CA 94577
Phone (510) 568-6161

Practitioners & affiliated clinicians

Practitioners 1

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1225176050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14472 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776712",
            "telephone_number": "510-568-6161",
            "fax_number": "510-568-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14472 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776712",
            "telephone_number": "510-568-6161",
            "fax_number": "510-568-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "GRAU",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "510-568-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "1889",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01212F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.