Organization Active NPI

Springs Ambulance Service, Inc.

  • Ambulance
  • Palm Springs, CA
National Provider Identifier
1689608994
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SPRINGS AMBULANCE SERVICE, INC.
Practice address
1111 Montalvo Way
Palm Springs, CA 92262-5440
Phone
(760) 883-5000
Fax
(760) 883-5011
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Timothy Joseph Dorn
Title
Chief Administrative Officer
Phone
(833) 703-2294

Specialties & licenses 2

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

Addresses

Primary practice location

1111 Montalvo Way
Palm Springs, CA 92262-5440

Mailing address

PO Box 55418
Los Angeles, CA 90074-5418
Phone (800) 913-9106

Other identifiers 2

IdentifierTypeStateIssuer
188264MedicaidAZ
1689608994MedicaidCA

Other names 1

  • American Medical Response (AMR) Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000341 CA Part B Supplier - Ambulance Service Supplier 5698700268 Practice locations: Palm Springs, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1089415American Medical Response1111 Montalvo Way, Palm Springs, CA 92262Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

File 554162
Los Angeles, CA 90074

151 S Sunrise Way
Ste 300
Palm Springs, CA 92262
Phone (760) 834-3593

1111 Montalvo Way
Palm Springs, CA 92262
Phone (760) 883-5000

560 S Williams Rd
Palm Springs, CA 92264
Phone (619) 322-4134

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1689608994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745418",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MONTALVO WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625440",
            "telephone_number": "760-883-5000",
            "fax_number": "760-883-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188264",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689608994",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response (AMR)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response (AMR)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.