Organization Active NPI

Pistoresi Ambulance Service, Inc

  • Ambulance
  • Madera, CA
National Provider Identifier
1700935822
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
28912384 Issued in CA
Legal business name
PISTORESI AMBULANCE SERVICE, INC
Practice address
113 N R St
Madera, CA 93637-4465
Phone
(559) 673-8004
Fax
(559) 673-4699
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Ted Pistoresi
Title
Operations Manager
Phone
(559) 673-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 28912384 CA Primary

Addresses

Primary practice location

113 N R St
Madera, CA 93637-4465

Mailing address

113 N R St
Madera, CA 93637-4465
Phone (559) 673-8004

Other identifiers 1

IdentifierTypeStateIssuer
MTE00883FMedicaidCA

Other names 1

  • Pistoresi Ambulance Service Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090509000058 CA Part B Supplier - Ambulance Service Supplier 5991853491 Practice locations: Madera, CA

National Provider Directory

National Provider Directory

Locations

113 N R St
Madera, CA 93637
Phone (559) 673-8004

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1700935822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N R ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374465",
            "telephone_number": "559-673-8004",
            "fax_number": "559-673-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N R ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374465",
            "telephone_number": "559-673-8004",
            "fax_number": "559-673-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISTORESI AMBULANCE SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "PISTORESI",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "559-673-8004"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "28912384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00883F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pistoresi Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.