Advantage Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

ADVANTAGE AMBULANCE INC

Practice address

2400 E 4TH St
National City, CA 91950-2026

Phone

(866) 962-3826

Fax

(951) 808-8730

NPI assigned

Sep 23, 2014

Last updated

Sep 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick Jayson Hartsock

Title

President

Phone

(866) 962-3826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1568864346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928780177",
            "telephone_number": "866-962-3826",
            "fax_number": "951-808-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E 4TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "866-962-3826",
            "fax_number": "951-808-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "HARTSOCK",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "JAYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-962-3826"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Agile Occupational Medicine, PC

• Ambulance in National City, CA
• Providers in National City, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.