Organization Active NPI

American Medical Response of Southern California

Doing business as American Medical Response

  • Ambulance
  • Irwindale, CA
National Provider Identifier
1932292604
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
AMERICAN MEDICAL RESPONSE OF SOUTHERN CALIFORNIA
Doing business as
American Medical Response
Practice address
5257 Vincent Ave
Irwindale, CA 91706-2042
Phone
(626) 633-4600
Fax
(626) 633-4609
NPI assigned
Oct 2, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Timothy Joseph Dorn
Title
Chief Administrative Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

5257 Vincent Ave
Irwindale, CA 91706-2042

Mailing address

PO Box 55418
Los Angeles, CA 90074-5418
Phone (800) 913-9106

Other practice location 1

13079 Garvey Ave
Baldwin Park, CA 91706-4664
Phone (626) 633-4600

Other names 1

  • American Medical Response Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000692 CA Part B Supplier - Ambulance Service Supplier 1355372517 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valencia, CA; Lancaster, CA; Baldwin Park, CA; North Hollywood, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
American Medical Response2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

13079 Garvey Ave
Baldwin Park, CA 91706
Phone (626) 633-4600

17918 Crusader Ave
Cerritos, CA 90703
Phone (562) 653-2000

10662 Stanford Ave
Garden Grove, CA 92840
Phone (714) 638-6200

5257 Vincent Ave
Irwindale, CA 91706
Phone (626) 633-4600

1055 W Avenue J
Lancaster, CA 93534
Phone (661) 945-9300

7727 Pearblossom Hwy
Littlerock, CA 93543
Phone (661) 944-9776

5420 W Jefferson Blvd
Los Angeles, CA 90016
Phone (323) 634-5700

File 55418
Los Angeles, CA 90074

12638 Saticoy St S
North Hollywood, CA 91605
Phone (323) 978-2188

3005 E Palmdale Blvd
Ste 6
Palmdale, CA 93550
Phone (661) 267-1537

38925 Trade Center Dr
Unit F
Palmdale, CA 93551
Phone (661) 267-1537

41943 50th St W
Quartz Hill, CA 93536
Phone (661) 943-8968

24907 Avenue Tibbitts
Ste E
Valencia, CA 91355
Phone (661) 964-6331

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1932292604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745418",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 VINCENT AVE",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917062042",
            "telephone_number": "626-633-4600",
            "fax_number": "626-633-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13079 Garvey Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin Park",
            "state": "CA",
            "postal_code": "917064664",
            "country_code": "US",
            "telephone_number": "626-633-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN MEDICAL RESPONSE OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irwindale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.