Active NPI
Amwest Inc.
- Land Ambulance
- North Hollywood, CA
National Provider Identifier
1467744367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467744367 | Medicaid | CA |
Other names 1
- Amwest Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1629024393
-
- Adult Medicine Physician
- San Gabriel, CA
- NPI 1932135712
-
- Podiatrist
- Woodland Hills, CA
- NPI 1083644207
-
- Sports Medicine Podiatrist
- Tarzana, CA
- NPI 1770525065
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.