Organization Active NPI

Hemet Valley Ambulance Service Inc

  • Ambulance
  • Hemet, CA
National Provider Identifier
1366550360
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HEMET VALLEY AMBULANCE SERVICE INC
Practice address
208 E Devonshire Ave
Hemet, CA 92543-2984
Phone
(951) 765-3900
Fax
(951) 652-8371
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Timothy Joseph Dorn
Title
Chief Administrative Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

208 E Devonshire Ave
Hemet, CA 92543-2984

Mailing address

PO Box 55418
Los Angeles, CA 90074-5418
Phone (800) 913-9106

Other identifiers 1

IdentifierTypeStateIssuer
1366550360MedicaidCA

Other names 1

  • American Medical Response Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051228000483 CA Part B Supplier - Ambulance Service Supplier 9133141575 Practice locations: Hemet, 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
05D1089665American Medical Response208 E Devonshire Ave, Hemet, CA 92543Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3559 W Ramsey St
Ste C3
Banning, CA 92220
Phone (951) 922-1164

205 E Sixth St
Beaumont, CA 92223
Phone (951) 922-6786

175 N Cawston Ave
Ste 155
Hemet, CA 92545
Phone (951) 658-0288

25954 Stanford St
Hemet, CA 92544
Phone (951) 925-4043

208 E Devonshire Ave
Hemet, CA 92543
Phone (951) 765-3900

File 554163
Los Angeles, CA 90074

950 N Ramona Blvd
Ste 10
San Jacinto, CA 92582
Phone (951) 654-9464

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1366550360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745418",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432984",
            "telephone_number": "951-765-3900",
            "fax_number": "951-652-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET VALLEY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366550360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.