Organization Active NPI

Shoreline Ambulance Inc

  • Land Ambulance
  • Huntington Beach, CA
National Provider Identifier
1629036652
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SHORELINE AMBULANCE INC
Practice address
17762 Metzler LN
Huntington Beach, CA 92647-6245
Phone
(714) 847-9107
Fax
(714) 848-6943
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mr. Giovanni Chiarella
Title
President
Phone
(714) 847-9107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

17762 Metzler LN
Huntington Beach, CA 92647-6245

Mailing address

17762 Metzler LN
Huntington Beach, CA 92647-6245
Phone (714) 847-9107

Other identifiers 1

IdentifierTypeStateIssuer
MTE01225GMedicaidCA

National Provider Directory

National Provider Directory

Locations

17762 Metzler Ln
Huntington Beach, CA 92647
Phone (714) 847-9107

16562 Gothard St
Ste E
Huntington Beach, CA 92647
Phone (714) 847-9107

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1629036652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 METZLER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476245",
            "telephone_number": "714-847-9107",
            "fax_number": "714-848-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 METZLER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476245",
            "telephone_number": "714-847-9107",
            "fax_number": "714-848-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "CHIARELLA",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-847-9107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01225G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.