Active NPI
Imperial Ambulance Inc
- Land Ambulance
- Porterville, CA
National Provider Identifier
1831258730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 80949
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ31254Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090420000461 | CA | Part B Supplier - Ambulance Service Supplier | 5799832226 | Practice locations: Porterville, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0719206 | Imperial Ambulance Inc | Certificate of waiver | Apr 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.