Side Trax EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SIDE TRAX EMS INC

Practice address

1429 Sunset Ave
Chico, CA 95926-2651

Phone

(530) 624-0863

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Moore

Title

R.N./C.F.O./Director

Phone

(530) 624-0863

Specialties & licenses 1

Addresses

Other names 1

• Side Trax EMS, LLC Former legal business name

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1942361878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110",
            "telephone_number": "916-669-4613",
            "fax_number": "916-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 SUNSET AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262651",
            "telephone_number": "530-624-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDE TRAX EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "R.N./C.F.O./DIRECTOR",
        "authorized_official_telephone_number": "530-624-0863"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Side Trax EMS, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nathaniel Shults
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• Jose Sibal, M.D.
• Rachel L Sicke
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• Michelle Lea Sieber
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• Land Ambulance in Chico, CA
• Providers in Chico, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.