Organization Active NPI

Sacred Heart Ambulance Corp

  • Ambulance
  • San Dimas, CA
National Provider Identifier
1750686655
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SACRED HEART AMBULANCE CORP
Practice address
1305 W Arrow Hwy
Suite 204
San Dimas, CA 91773-2336
Phone
(626) 780-1061
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Santiago Carrillo
Title
Ceo
Phone
(626) 780-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

1305 W Arrow Hwy
Suite 204
San Dimas, CA 91773-2336

Mailing address

1305 W Arrow Hwy
Suite 204
San Dimas, CA 91773-2336
Phone (626) 780-1061

National Provider Directory

National Provider Directory

Locations

1305 W Arrow Hwy
Ste 204
San Dimas, CA 91773
Phone (626) 780-1061

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1750686655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W ARROW HWY",
            "address_2": "SUITE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732336",
            "telephone_number": "626-780-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W ARROW HWY",
            "address_2": "SUITE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732336",
            "telephone_number": "626-780-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-780-1061"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.