Organization Active NPI

Medix Ambulance Service, Inc

  • Land Ambulance
  • Mission Viejo, CA
National Provider Identifier
1417975236
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MEDIX AMBULANCE SERVICE, INC
Practice address
26021 Pala
Mission Viejo, CA 92691-2705
Phone
(949) 470-8921
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Mr. Michael Dimas
Title
President
Phone
(949) 470-8921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

26021 Pala
Mission Viejo, CA 92691-2705

Mailing address

26021 Pala
Mission Viejo, CA 92691-2705
Phone (949) 470-8921

Other identifiers 1

IdentifierTypeStateIssuer
MTE00375FMedicaidCA

National Provider Directory

National Provider Directory

Locations

26021 Pala
Mission Viejo, CA 92691
Phone (949) 470-8921

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1417975236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26021 PALA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912705",
            "telephone_number": "949-470-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26021 PALA",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912705",
            "telephone_number": "949-470-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "DIMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-470-8921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00375F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.