Organization Active NPI

Imperial Ambulance Inc

  • Land Ambulance
  • Porterville, CA
National Provider Identifier
1831258730
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
80949 Issued in CA
Legal business name
IMPERIAL AMBULANCE INC
Practice address
22 N Cottage St
Porterville, CA 93257-3220
Phone
(559) 784-8500
Fax
(559) 782-5667
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Trent William Fiori
Title
President
Phone
(559) 784-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 80949 CA Primary

Addresses

Primary practice location

22 N Cottage St
Porterville, CA 93257-3220

Mailing address

22 N. Cottage
Porterville, CA 93257
Phone (559) 784-8500

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ31254ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000461 CA Part B Supplier - Ambulance Service Supplier 5799832226 Practice locations: Porterville, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0719206Imperial Ambulance Inc22 N Cottage, Porterville, CA 93257Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

22 N Cottage St
Porterville, CA 93257
Phone (559) 784-8500

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1831258730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N. COTTAGE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257",
            "telephone_number": "559-784-8500",
            "fax_number": "559-782-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N COTTAGE ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573220",
            "telephone_number": "559-784-8500",
            "fax_number": "559-782-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "FIORI",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-784-8500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "80949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ31254Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.