San Andreas Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SAN ANDREAS AMBULANCE

Practice address

660 St Charles St
San Andreas, CA 95249

Phone

(209) 754-5701

NPI assigned

Jul 28, 2005

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale Jones

Title

Owner

Phone

(209) 754-5701

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1669472023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952491115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 ST CHARLES ST",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-754-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANDREAS AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-754-5701"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00123F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan C Romeo, MFT
• Ramon Francisco Ruiz Sr.
• Haley Rusth
• Ana Ruth
• David Lawrence Sackman, M.F.T.
• San Andreas Chiropractic,Inc.
• San Andreas Sleep Disorders Medical Group, Inc (San Andreas Sleep Center)
• San Andreas SNF Operations LLC (Golden San Andreas Care Center)
• Rebecca Schimp, LPCC
• Arnetta Scott

• Land Ambulance in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.