Supreme Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SUPREME AMBULANCE INC

Practice address

5300 San Fernando Rd
Glendale, CA 91203-2407

Phone

(855) 775-8585

Fax

(855) 775-8787

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Rick Larson

Title

Vpo

Phone

(855) 775-8585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Abdoush, M.D.

  • Personal Emergency Response Attendant
  • Los Angeles, CA
  • NPI 1700091378
  NPD (past)

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1649500489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032407",
            "telephone_number": "855-775-8585",
            "fax_number": "855-775-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SAN FERNANDO RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032407",
            "telephone_number": "855-775-8585",
            "fax_number": "855-775-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "VPO",
        "authorized_official_telephone_number": "855-775-8585",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Medical Transportation Inc
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• Superior Urgent Care Services a Medical Corp
• Support Path Therapy
• Supreme Home Care Services Inc
• Surekha V. Vashi, M.D., Inc.
• Surgery Center of Southern California LLC
• Thomas Robert Surnock, D.C
• Susan L. Chobanian, M.D.

• Ambulance in Glendale, CA
• Providers in Glendale, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.