Organization Active NPI

Kma Emergency Services, Inc.

  • Land Ambulance
  • San Leandro, CA
National Provider Identifier
1508939943
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
A145 Issued in CA
Legal business name
KMA EMERGENCY SERVICES, INC.
Practice address
14275 Wicks Blvd
San Leandro, CA 94577-5613
Phone
(510) 614-1420
Fax
(510) 614-1429
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Mr. Erik Mandler
Title
Owner
Phone
(949) 981-0299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X A145 CA Primary

Addresses

Primary practice location

14275 Wicks Blvd
San Leandro, CA 94577-5613

Mailing address

3972 Barranca Pkwy
Suite J430
Irvine, CA 92606-8656
Phone (510) 614-1420

Other identifiers 1

IdentifierTypeStateIssuer
MTE00791FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050214000699 CA Part B Supplier - Ambulance Service Supplier 3476505868 Practice locations: San Leandro, CA; Sunnyvale, CA; Oakland, CA

National Provider Directory

National Provider Directory

Locations

3972 Barranca Pkwy
Ste J430
Irvine, CA 92606

3701 Collins Ave
Richmond, CA 94806
Phone (510) 614-1420

1267 Meridian Ave
San Jose, CA 95125
Phone (408) 265-4211

1635 Neptune Dr
San Leandro, CA 94577
Phone (510) 614-1424

14275 Wicks Blvd
San Leandro, CA 94577
Phone (510) 614-1420

1175 Tasman Dr
Sunnyvale, CA 94089
Phone (510) 614-1420

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1508939943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BARRANCA PKWY",
            "address_2": "SUITE J430",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068656",
            "telephone_number": "510-614-1420",
            "fax_number": "510-614-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14275 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775613",
            "telephone_number": "510-614-1420",
            "fax_number": "510-614-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMA EMERGENCY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "MANDLER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-981-0299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "A145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00791F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.