Organization Active NPI

Xtreme Care Ambulance Inc

  • Land Ambulance
  • San Diego, CA
National Provider Identifier
1568770188
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3311838 Issued in CA
Legal business name
XTREME CARE AMBULANCE INC
Practice address
4636 Mission Gorge PL
Ste 103-C
San Diego, CA 92120-4151
Phone
(619) 822-2674
Fax
(619) 255-2590
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Mr. Souheil Jawad
Title
President/Ceo
Phone
(619) 822-2674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3311838 CA Primary

Addresses

Primary practice location

4636 Mission Gorge PL
Ste 103-C
San Diego, CA 92120-4151

Mailing address

4636 Mission Gorge PL
Suite 103-C
San Diego, CA 92120-4151
Phone (619) 822-2674

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1568770188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 MISSION GORGE PL",
            "address_2": "SUITE 103-C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204151",
            "telephone_number": "619-822-2674",
            "fax_number": "619-255-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 MISSION GORGE PL",
            "address_2": "STE 103-C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204151",
            "telephone_number": "619-822-2674",
            "fax_number": "619-255-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME CARE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "JAWAD",
        "authorized_official_first_name": "SOUHEIL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-822-2674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "3311838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.