Manteca District Volunteer Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MANTECA DISTRICT VOLUNTEER AMBULANCE SERVICE

Practice address

245 E Center St
Manteca, CA 95336-4623

Phone

(209) 823-1032

Fax

(209) 825-9607

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Lou Ann Anaya

Title

Billing Manager

Phone

(209) 823-1032

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1861574584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953361120",
            "telephone_number": "209-823-1032",
            "fax_number": "209-825-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E CENTER ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364623",
            "telephone_number": "209-823-1032",
            "fax_number": "209-825-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTECA DISTRICT VOLUNTEER AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "ANAYA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LOU ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "209-823-1032",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ32662Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Maldonado
• Carrie Malekow, RN
• La Jeanne Mallett
• Florinda Galang Mallorca, M.D.
• Manteca Community Healthcare LLC
• Manteca Emergency Physicians, a Medical Corporation
• Manteca Gastroenterology Associates Inc
• Manteca Gastroenterology Group
• Manteca Medical Group, Inc
• Manteca Optometry

• Land Ambulance in Manteca, CA
• Providers in Manteca, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.