Organization Active NPI

Santa Rosa Ambulance LLC

Doing business as Childrens Ambulance Service

  • Ambulance
  • Spring, TX
National Provider Identifier
1649835414
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SANTA ROSA AMBULANCE LLC
Doing business as
Childrens Ambulance Service
Practice address
7007 Wimbledon Estates Dr
Spring, TX 77379-7322
Phone
(281) 306-0000
Fax
(281) 306-0000
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Joshua Zigal
Title
Ceo
Phone
(281) 306-0000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

7007 Wimbledon Estates Dr
Spring, TX 77379-7322

Mailing address

7007 Wimbledon Estates Dr
Spring, TX 77379-7322
Phone (281) 306-0000

Other names 2

  • Childrens Ambulance Service Doing business as
  • SANTA ROSA AMBULANCE LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191001000233 TX Part B Supplier - Ambulance Service Supplier 1456681766 Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

310 E Rio Grande St
Ste 3
Eagle Pass, TX 78852
Phone (210) 290-2348

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1649835414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WIMBLEDON ESTATES DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797322",
            "telephone_number": "281-306-0000",
            "fax_number": "281-306-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WIMBLEDON ESTATES DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797322",
            "telephone_number": "281-306-0000",
            "fax_number": "281-306-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "ZIGAL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-306-0000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SANTA ROSA AMBULANCE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.