Active NPI
Shoreline Ambulance Inc
- Land Ambulance
- Huntington Beach, CA
National Provider Identifier
1629036652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE01225G | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.