American Specialty Ambulance, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

AMERICAN SPECIALTY AMBULANCE, LLC

Doing business as

American Specialty Ambulance

Practice address

4120 Dale Rd Ste J8-140
Modesto, CA 95356-9232

Phone

(209) 505-1035

Fax

(209) 846-0345

NPI assigned

Nov 9, 2015

Last updated

Nov 9, 2015By 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

Gia S Smith, RNNPI 1649888173

Title

Ceo

Phone

(209) 505-1035

Specialties & licenses 1

Addresses

Other names 1

• American Specialty Ambulance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gia Samantha Smith

  • Nurse Practitioner
  • Riverbank, CA
  • NPI 1649888173
  NPD Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1740653005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DALE RD STE J8-140",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "209-505-1035",
            "fax_number": "209-846-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 DALE RD STE J8-140",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "209-505-1035",
            "fax_number": "209-846-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPECIALTY AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-505-1035",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Specialty Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Modesto, CA
• Providers in Modesto, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.