Active NPI
Sterling Charles Ross
- Land Ambulance
- La Mesa, CA
National Provider Identifier
1568938025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- C4189389
- Practice address
- 3965 Apore St
La Mesa, CA 91941-7700 - Phone
- (619) 279-3604
- NPI assigned
- Oct 22, 2018
- Last updated
- Oct 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | C4189389 | CA | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | C4189389 | CA |
Addresses
Primary practice location
3965 Apore St
La Mesa, CA 91941-7700
Mailing address
3965 Apore St
La Mesa, CA 91941-7700
Phone (619) 279-3604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4189389 | CA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1568938025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 APORE ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417700",
"telephone_number": "619-279-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 APORE ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417700",
"telephone_number": "619-279-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STERLING",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CA",
"license": "C4189389",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "C4189389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.