Organization Active NPI

Amt Ambulance, Inc

  • Ambulance
  • Reseda, CA
National Provider Identifier
1376722769
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Dec 5, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.