Sacramento Valley Ambulance Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2932337 Issued in CA

Legal business name

SACRAMENTO VALLEY AMBULANCE INC.

Practice address

6220 Belleau Wood LN
Suite 4
Sacramento, CA 95822-5922

Phone

(916) 422-3881

Fax

(916) 422-3866

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul James Lakich, PARAMEDIC

Title

Ceo

Phone

(916) 422-3881

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1508994823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 BELLEAU WOOD LN",
            "address_2": "SUITE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225922",
            "telephone_number": "916-422-3881",
            "fax_number": "916-422-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 BELLEAU WOOD LN",
            "address_2": "SUITE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225922",
            "telephone_number": "916-422-3881",
            "fax_number": "916-422-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO VALLEY AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "LAKICH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-422-3881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "2932337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508994823",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.