NPIMap

Organization Active NPI

Republic EMS LLC

  • Land Ambulance
  • Costa Mesa, CA
National Provider Identifier
1427375500
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3416L0300X Issued in CA
Legal business name
REPUBLIC EMS LLC
Practice address
575 Anton Blvd
300
Costa Mesa, CA 92626-7169
Phone
(714) 852-7454
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Mr. Giovanni Chiarella
Title
President
Phone
(714) 852-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3416L0300X CA Primary

Addresses

Primary practice location

575 Anton Blvd
300
Costa Mesa, CA 92626-7169

Mailing address

575 Anton Blvd
300
Costa Mesa, CA 92626-7169
Phone (714) 852-7454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1427375500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ANTON BLVD",
            "address_2": "300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267169",
            "telephone_number": "714-852-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ANTON BLVD",
            "address_2": "300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267169",
            "telephone_number": "714-852-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPUBLIC EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CHIARELLA",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-852-7454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.