Impulse Ambulance, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2028 Issued in CA

Legal business name

IMPULSE AMBULANCE, INC.

Practice address

12527 Vanowen St
North Hollywood, CA 91605-5321

Phone

(818) 982-3500

Fax

(818) 982-5400

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Adam Gordon Neiberger

Title

Compliance Officer

Phone

(818) 982-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1629003157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12527 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055321",
            "telephone_number": "818-982-3500",
            "fax_number": "818-982-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12527 VANOWEN ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055321",
            "telephone_number": "818-982-3500",
            "fax_number": "818-982-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPULSE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "NEIBERGER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "818-982-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01169F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in North Hollywood, CA
• Providers in North Hollywood, 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 1, 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.