San Luis Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SAN LUIS AMBULANCE SERVICE, INC.

Practice address

3546 S Higuera St
San Luis Obispo, CA 93401-7352

Phone

(805) 543-2626

Fax

(805) 546-0885

NPI assigned

May 5, 2006

Last updated

Nov 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frank I. Kelton

Title

President/Ceo

Phone

(805) 543-2626

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1871541102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 S HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017352",
            "telephone_number": "805-543-2626",
            "fax_number": "805-546-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 S HIGUERA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017352",
            "telephone_number": "805-543-2626",
            "fax_number": "805-546-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KELTON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-543-2626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72013Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Lalush Nutrition LLC
• Deborah Sampley, D.C. Q.M.E
• Helen M Sampson, LCSW
• Nicholas Philip San Juan
• San Lui Obispo Center for Change
• San Luis Chronic Pain Massage Therapy
• San Luis Coastal Unified School District
• San Luis Dermatology, Inc.
• San Luis Diagnostic Medical Associates
• San Luis Hospitalists a Medical Corporation

• Land Ambulance in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.