Organization Active NPI

Amwest Inc.

  • Land Ambulance
  • North Hollywood, CA
National Provider Identifier
1467744367
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
AMWEST INC.
Practice address
13257 Saticoy St
North Hollywood, CA 91605-3401
Phone
(818) 859-7999
Fax
(818) 859-7322
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Boris L Krutonog
Title
President/Ceo
Phone
(818) 859-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

13257 Saticoy St
North Hollywood, CA 91605-3401

Mailing address

13257 Saticoy St
North Hollywood, CA 91605-3401
Phone (818) 859-7999

Other identifiers 1

IdentifierTypeStateIssuer
1467744367MedicaidCA

Other names 1

  • Amwest Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120301000499 CA Part B Supplier - Ambulance Service Supplier 2264690759 Practice locations: N Hollywood, CA; Salida, CA
O20210118000193 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2264690759 Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

13257 Saticoy St
North Hollywood, CA 91605
Phone (818) 747-2369

7650 Lankershim Blvd
North Hollywood, CA 91605
Phone (310) 766-2660

5551 Ciccarelli Rd
Salida, CA 95368
Phone (818) 859-7999

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1467744367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13257 SATICOY ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053401",
            "telephone_number": "818-859-7999",
            "fax_number": "818-859-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13257 SATICOY ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053401",
            "telephone_number": "818-859-7999",
            "fax_number": "818-859-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMWEST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "KRUTONOG",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-859-7999"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467744367",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amwest Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amwest Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.