Active NPI
Amt Ambulance, Inc
- Ambulance
- Reseda, CA
National Provider Identifier
1376722769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- AMT AMBULANCE, INC
- Practice address
- 7046 Darby Ave
Reseda, CA 91335-4401 - Phone
- (818) 705-0060
- Fax
- (818) 705-6200
- NPI assigned
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergey Brusilovsky
- Title
- Ceo
- Phone
- (818) 705-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | CA | Primary |
Addresses
Primary practice location
7046 Darby Ave
Reseda, CA 91335-4401
Mailing address
7046 Darby Ave
Reseda, CA 91335-4401
Phone (818) 705-0060
National Provider Directory
National Provider DirectoryLocations
7046 Darby Ave
Reseda, CA 91335
Phone (818) 705-0060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354665600000",
"number": "1376722769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7046 DARBY AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354401",
"telephone_number": "818-705-0060",
"fax_number": "818-705-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7046 DARBY AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354401",
"telephone_number": "818-705-0060",
"fax_number": "818-705-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMT AMBULANCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2012-12-05",
"status": "A",
"authorized_official_last_name": "BRUSILOVSKY",
"authorized_official_first_name": "SERGEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-705-0060"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.