Active NPI
American Medical Response of Southern California
Doing business as American Medical Response
- Ambulance
- Irwindale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba American Medical Response
- Ambulance
- Lancaster, CA
- NPI 1679660674
O20050826000692
National Provider Directory
National Provider Directory- Tax ID family
- American Medical Response
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba American Medical Response
- Ambulance
- Lancaster, CA
- NPI 1679660674
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba American Medical Response
- Ambulance
- Bozeman, MT
- NPI 1639198658
Member Of
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.