Antelope Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1834 Issued in CA

Legal business name

ANTELOPE AMBULANCE SERVICE

Practice address

42540 N. 6TH Street East
Lancaster, CA 93535-5202

Phone

(661) 951-1998

Fax

(661) 951-1188

NPI assigned

Jun 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Richard Cain

Title

Corporate Secretary

Phone

(661) 951-1998

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1326045949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5480",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935395480",
            "telephone_number": "661-951-1998",
            "fax_number": "661-951-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42540 N. 6TH STREET EAST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935355202",
            "telephone_number": "661-951-1998",
            "fax_number": "661-951-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "661-951-1998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "1834",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "1834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00972F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.