First Due Medical Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1927 Issued in CA

Legal business name

FIRST DUE MEDICAL SERVICES INC

Practice address

8113 Orion Ave
Van Nuys, CA 91406-1435

Phone

(818) 488-4087

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

Brad Waters

Title

Owner/Director

Phone

(818) 488-4087

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1417118753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 BALBOA BLVD # 558",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252610",
            "telephone_number": "818-488-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 ORION AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061435",
            "telephone_number": "818-488-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DUE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "818-488-4087"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP LICENSE #",
            "identifier": "1951",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Van Nuys, CA
• Providers in Van Nuys, 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 9, 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.