Active NPI
Phi Health, LLC
- Air Ambulance
- Modesto, CA
National Provider Identifier
1780925990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- PHI HEALTH, LLC
- Practice address
- 801 Airport Way Ste D
Modesto, CA 95354-3904 - Phone
- (209) 549-2439
- NPI assigned
- Mar 13, 2013
- 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
- Michael Lawrence Boyle
- Title
- Cfo
- Phone
- (800) 421-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
801 Airport Way Ste D
Modesto, CA 95354-3904
Mailing address
PO Box 676171
Dallas, TX 75267-6171
Phone (800) 421-6111
Other practice location 1
1840 Airport Blvd
Red Bluff, CA 96080
Phone (800) 321-9522
Other practice location 2
10713 Airport Rd
Columbia, CA 95310-9727
Phone (209) 536-6562
Other practice location 3
5900 Old Oregon Trl
Redding, CA 96002-9330
Phone (530) 221-0646
Other names 1
- PHI Air Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130903000400 | CA | Part B Supplier - Ambulance Service Supplier | 7416975784 | Practice locations: Red Bluff, CA; Redding, CA; Modesto, CA; Columbia, CA |
Other NPIs with the same Medicare PAC ID 12
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Phi Air Medical
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1780925990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 676171",
"city": "DALLAS",
"state": "TX",
"postal_code": "752676171",
"telephone_number": "800-421-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 AIRPORT WAY STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953543904",
"telephone_number": "209-549-2439"
}
],
"practiceLocations": [
{
"address_1": "1840 Airport Blvd",
"address_purpose": "LOCATION",
"city": "Red Bluff",
"state": "CA",
"postal_code": "96080",
"country_code": "US",
"telephone_number": "800-321-9522",
"fax_number": "602-224-1660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10713 Airport Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "CA",
"postal_code": "953109727",
"country_code": "US",
"telephone_number": "209-536-6562",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5900 Old Oregon Trl",
"address_purpose": "LOCATION",
"city": "Redding",
"state": "CA",
"postal_code": "960029330",
"country_code": "US",
"telephone_number": "530-221-0646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHI HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "BOYLE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "800-421-6111"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PHI Air Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PHI Air Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.