NPIMap

Organization Active NPI

Elite Ambulance, Inc.

  • Land Ambulance
  • Los Angeles, CA
National Provider Identifier
1811169865
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ELITE AMBULANCE, INC.
Practice address
2065 Venice Blvd
Los Angeles, CA 90006-5222
Phone
(323) 874-4100
Fax
(323) 766-9500
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Bridgette Povolotsky
Title
President
Phone
(323) 874-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

2065 Venice Blvd
Los Angeles, CA 90006-5222

Mailing address

2065 Venice Blvd
Los Angeles, CA 90006-5222
Phone (323) 874-4100

National Provider Directory

National Provider Directory

Locations

7188 W Sunset Blvd
Ste 100A
Los Angeles, CA 90046
Phone (323) 871-4100

2065 Venice Blvd
Los Angeles, CA 90006
Phone (323) 851-9100

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1811169865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065222",
            "telephone_number": "323-874-4100",
            "fax_number": "323-766-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065222",
            "telephone_number": "323-874-4100",
            "fax_number": "323-766-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "POVOLOTSKY",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-874-4100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2010; 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.