Active NPI
Kma Emergency Services, Inc.
- Land Ambulance
- San Leandro, CA
National Provider Identifier
1508939943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- A145
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00791F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050214000699 | CA | Part B Supplier - Ambulance Service Supplier | 3476505868 | Practice locations: San Leandro, CA; Sunnyvale, CA; Oakland, CA |
National Provider Directory
National Provider DirectoryLocations
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.