San Diego Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2165 Issued in CA

Legal business name

SAN DIEGO AMBULANCE LLC

Doing business as

San Diego Ambulance Services

Practice address

8534 Commerce Ave
San Diego, CA 92121-2600

Phone

(619) 399-0006

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Nourhan Soulaqa

Title

Ceo/Owner

Phone

(619) 399-0006

Specialties & licenses 1

Addresses

Other names 1

• San Diego Ambulance Services Doing business as

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": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1407340870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8534 COMMERCE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212600",
            "telephone_number": "619-399-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 COMMERCE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212600",
            "telephone_number": "619-399-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "SOULAQA",
        "authorized_official_first_name": "NOURHAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "619-399-0006"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Ambulance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in San Diego, CA
• Providers in San Diego, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.