Organization Active NPI

Enova Medical Response Inc.

  • Ambulance
  • Los Angeles, CA
National Provider Identifier
1740334259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0002026160-0001-4 Issued in CA
Legal business name
ENOVA MEDICAL RESPONSE INC.
Practice address
1227 W Temple St
2ND Floor
Los Angeles, CA 90026-5612
Phone
(213) 482-9654
Fax
(213) 482-9658
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Malintsyan
Title
President - Ceo
Phone
(213) 482-9654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0002026160-0001-4 CA Primary

Addresses

Primary practice location

1227 W Temple St
2ND Floor
Los Angeles, CA 90026-5612

Mailing address

1227 W Temple St
2ND Floor
Los Angeles, CA 90026-5612
Phone (213) 482-9654

Other identifiers 1

IdentifierTypeStateIssuer
MTE01217FMedicaidCA

National Provider Directory

National Provider Directory

Locations

119 Belmont Ave
Los Angeles, CA 90026
Phone (213) 482-9654

147 N Ave 18
Los Angeles, CA 90031
Phone (213) 482-9654

1227 W Temple St
Fl 2
Los Angeles, CA 90026
Phone (213) 482-9654

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740334259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W TEMPLE ST",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265612",
            "telephone_number": "213-482-9654",
            "fax_number": "213-482-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W TEMPLE ST",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265612",
            "telephone_number": "213-482-9654",
            "fax_number": "213-482-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOVA MEDICAL RESPONSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALINTSYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT - CEO",
        "authorized_official_telephone_number": "213-482-9654",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "0002026160-0001-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01217F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.