Organization Active NPI

Roam

Doing business as Sky Life

  • Air Ambulance
  • Fresno, CA
National Provider Identifier
1417049966
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
ROAM
Doing business as
Sky Life
Practice address
2911 E Tulare St
Fresno, CA 93721-1502
Phone
(559) 443-5991
Fax
(559) 441-8260
NPI assigned
Sep 29, 2006
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Lisa Epps
Title
Director of Operations
Phone
(559) 346-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary

Addresses

Primary practice location

2911 E Tulare St
Fresno, CA 93721-1502

Mailing address

2911 E Tulare St
Fresno, CA 93721-1502

Other identifiers 1

IdentifierTypeStateIssuer
MTA00607FMedicaidCA

Other names 1

  • SKY LIFE Doing business as

National Provider Directory

National Provider Directory

Locations

5484 E Perimeter Rd
Fresno, CA 93727
Phone (559) 443-5960

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1417049966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 E TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 E TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211502",
            "telephone_number": "559-443-5991",
            "fax_number": "559-441-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "559-346-1025"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTA00607F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKY LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.