Andrew Boyd Mavar, EMT-B
Individual provider Active NPI Basic Emergency Medical Technician · Helendale, CA
NPI 1477397602 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1477397602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Basic Emergency Medical Technician 146N00000X
- License
- E168262 (CA)
- Practice address
- 27535 Lakeview Dr Apt 36
Helendale, CA 92342-7858 - Phone
- (714) 650-4013
- NPI assigned
- Jun 22, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E168262 | CA | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onesource Search & Rescue, LLC | Emergency Medical Technician, Basic | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E168262 | CA | Yes |
Addresses
Primary practice location
27535 Lakeview Dr Apt 36
Helendale, CA 92342-7858
Mailing address
PO Box 3497
Helendale, CA 92342-3497
Phone (714) 650-4013
Other providers in Helendale, CA
- Thomas Mark La Croix
- Yang Han Lee
- Valarie Marks
- Jamie Lynn Martos
- Diana Mathis
- Jessica J McDowell
- Kristen Micetich
- Kent Sylvester Miller
- Edward Harris Mitchell
- Nathan Hunt LLC
All providers in Helendale, CA · Basic Emergency Medical Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.