Organization Active NPI

Pistoresi Ambulance Service of Madera

  • Ambulance
  • Madera, CA
National Provider Identifier
1831248038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
31859085 Issued in CA
Legal business name
PISTORESI AMBULANCE SERVICE OF MADERA
Practice address
113 N R St
Madera, CA 93637-4465
Phone
(559) 673-8004
Fax
(559) 673-4699
NPI assigned
Jan 9, 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
Ted Pistoresi
Title
Operations Manager
Phone
(559) 673-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 31859085 CA Primary

Addresses

Primary practice location

113 N R St
Madera, CA 93637-4465

Mailing address

113 N R St
Madera, CA 93637-4465
Phone (559) 673-8004

Other identifiers 1

IdentifierTypeStateIssuer
MTE00883FMedicaidCA

Other names 1

  • Pistoresi Ambulance Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831248038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N R ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374465",
            "telephone_number": "559-673-8004",
            "fax_number": "559-673-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N R ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374465",
            "telephone_number": "559-673-8004",
            "fax_number": "559-673-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISTORESI AMBULANCE SERVICE OF MADERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PISTORESI",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "559-673-8004"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "31859085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00883F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pistoresi Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madera, 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.