Brougham Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BROUGHAM AMBULANCE

Practice address

17430 Chatsworth St Unit 3
Granada Hills, CA 91344-5717

Phone

(747) 999-7545

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Sarkis Aleksanyan

Title

Chief Financial Officer

Phone

(818) 935-4142

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1356067037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17430 CHATSWORTH ST UNIT 3",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445717",
            "telephone_number": "747-999-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17430 CHATSWORTH ST UNIT 3",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445717",
            "telephone_number": "747-999-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUGHAM AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "ALEKSANYAN",
        "authorized_official_first_name": "SARKIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "818-935-4142"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.