Organization Active NPI

American Medical Transport Inc.

  • Ambulance
  • La Selva Beach, CA
National Provider Identifier
1437157252
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
AMERICAN MEDICAL TRANSPORT INC.
Doing business as
Central Coast Ambulance
Practice address
600 E Bel Mar Dr
La Selva Beach, CA 95076-6400
Phone
(831) 685-3201
Fax
(831) 633-5263
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Hilda Chelstowski
Title
President
Phone
(831) 685-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X CA Primary

Addresses

Primary practice location

600 E Bel Mar Dr
La Selva Beach, CA 95076-6400

Mailing address

PO Box 1244
Aptos, CA 95012
Phone (831) 685-3201

Other identifiers 4

IdentifierTypeStateIssuer
16119IOtherCAPACIFICARE
590014697OtherCARAILROAD MEDICARE
MTE01001FMedicaidCA
ZZZ06390ZOtherCABLUE SHIELD

Other names 1

  • Central Coast Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050406000469 CA Part B Supplier - Ambulance Service Supplier 3375590896 Practice locations: Castroville, CA; Watsonville, CA; Santa Cruz, CA

National Provider Directory

National Provider Directory

Locations

11455 Wood St
Castroville, CA 95012
Phone (831) 685-3201

2250 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 600-2800

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437157252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1244",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95012",
            "telephone_number": "831-685-3201",
            "fax_number": "831-633-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BEL MAR DR",
            "city": "LA SELVA BEACH",
            "state": "CA",
            "postal_code": "950766400",
            "telephone_number": "831-685-3201",
            "fax_number": "831-633-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHELSTOWSKI",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-685-3201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "16119I",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014697",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01001F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ06390Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Coast Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Selva Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.