Active NPI
Vital Care Ambulance Inc
- Land Ambulance
- Los Angeles, CA
National Provider Identifier
1538705207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VITAL CARE AMBULANCE INC
- Practice address
- 1480 Colorado Blvd Ste 135
Los Angeles, CA 90041-2373 - Phone
- (323) 747-1072
- Fax
- (323) 507-2386
- NPI assigned
- Nov 18, 2019
- Last updated
- Nov 18, 2019
- 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
- Nazik Kazaryan
- Title
- President
- Phone
- (323) 747-1072
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
1480 Colorado Blvd Ste 135
Los Angeles, CA 90041-2373
Mailing address
1480 Colorado Blvd Ste 135
Los Angeles, CA 90041-2373
Phone (323) 747-1072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200406002657 | CA | Part B Supplier - Ambulance Service Supplier | 5496184863 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
4509 Alger St
Los Angeles, CA 90039
Phone (323) 747-1072
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ambulance
- Los Angeles, CA
- NPI 1881220549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574035200000",
"number": "1538705207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 COLORADO BLVD STE 135",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412373",
"telephone_number": "323-747-1072",
"fax_number": "323-507-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 COLORADO BLVD STE 135",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900412373",
"telephone_number": "323-747-1072",
"fax_number": "323-507-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CARE AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-18",
"last_updated": "2019-11-18",
"status": "A",
"authorized_official_last_name": "KAZARYAN",
"authorized_official_first_name": "NAZIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-747-1072"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.