Active NPI
Springs Ambulance Service, Inc.
- Ambulance
- Palm Springs, CA
National Provider Identifier
1689608994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188264 | Medicaid | AZ | |
| 1689608994 | Medicaid | CA |
Other names 1
- American Medical Response (AMR)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051003000341 | CA | Part B Supplier - Ambulance Service Supplier | 5698700268 | Practice locations: Palm Springs, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1089415 | American Medical Response | Certificate of waiver | Sep 16, 2026 |
National Provider Directory
National Provider DirectoryMember 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.