Organization Active NPI

Lexxiom Medical Services, Inc

  • Land Ambulance
  • San Jacinto, CA
National Provider Identifier
1871898197
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LEXXIOM MEDICAL SERVICES, INC
Practice address
445 S State St
San Jacinto, CA 92583-4013
Phone
(800) 560-8547
NPI assigned
Jan 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Mr. Jerry Boucher
Title
Managing Director
Phone
(909) 581-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

445 S State St
San Jacinto, CA 92583-4013

Mailing address

11690 Pacific Ave
Suite #170
Fontana, CA 92337-8254

National Provider Directory

National Provider Directory

Locations

11690 Pacific Ave
#170
Fontana, CA 92337

11690 Pacific Ave
Ste 170
Fontana, CA 92337
Phone (909) 581-7488

445 S State St
San Jacinto, CA 92583
Phone (800) 560-8547

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1871898197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11690 PACIFIC AVE",
            "address_2": "SUITE #170",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923378254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S STATE ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834013",
            "telephone_number": "800-560-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXXIOM MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "909-581-7488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.