Active NPI
American Medical Transport Inc.
- Ambulance
- La Selva Beach, CA
National Provider Identifier
1437157252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16119I | Other | CA | PACIFICARE |
| 590014697 | Other | CA | RAILROAD MEDICARE |
| MTE01001F | Medicaid | CA | |
| ZZZ06390Z | Other | CA | BLUE SHIELD |
Other names 1
- Central Coast Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050406000469 | CA | Part B Supplier - Ambulance Service Supplier | 3375590896 | Practice locations: Castroville, CA; Watsonville, CA; Santa Cruz, CA |
National Provider Directory
National Provider DirectoryLocations
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.