Desert Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

A188 Issued in CA

Legal business name

DESERT AMBULANCE SERVICE INC

Practice address

831 W Main St
Barstow, CA 92311-2649

Phone

(760) 256-6854

Fax

(760) 256-1954

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Elbert W. Muncy Jr.

Title

C.E.O.

Phone

(760) 256-6854

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1487733663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 W MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112649",
            "telephone_number": "760-256-6854",
            "fax_number": "760-256-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 W MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112649",
            "telephone_number": "760-256-6854",
            "fax_number": "760-256-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "MUNCY",
        "authorized_official_first_name": "ELBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "760-256-6854",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "A188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ35889Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoleysis Delacruz
• Gladys Delgado
• Nichole Delgado
• Elizabeth Jane Demagno, MD
• Department of Behavioral Health
• Desert Family Practice Associates Medical GRP Inc
• Desert Mens Health Inc
• Krystle Starr Dewberry
• Ankush Dhir
• Dianna L Powell

• Land Ambulance in Barstow, CA
• Providers in Barstow, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.