Mercury Ambulance Services, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MERCURY AMBULANCE SERVICES, LLC

Practice address

879 W 190TH St Ste 400
Gardena, CA 90248-4223

Phone

(323) 423-0814

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Sanchez

Title

Cfo

Phone

(714) 322-2254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1871348862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 W 190TH ST STE 400",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484223",
            "telephone_number": "323-423-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 W 190TH ST STE 400",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484223",
            "telephone_number": "323-423-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY AMBULANCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-322-2254"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy N Menziess, CASE MANAGER
• Janki Merai, BCBA
• Miguel Meraz
• George Mercado
• Tanya Monique Mercado
• Sarady Kamal Merghani Marzook
• Ashley M Merriman, LCSW
• Lauryn McKenzie Merriweather
• Raiven Jeneise Mesa
• Beshoy Meshreky

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.