St. Mark Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

ST. MARK AMBULANCE LLC

Practice address

475 El Camino Real Ste 424
Millbrae, CA 94030-2643

Phone

(650) 880-2588

Fax

(650) 880-2577

NPI assigned

Sep 18, 2024

Last updated

Sep 15, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CAREGENTUM INC.As reported in NPPES

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

Authorized official

Name

Mark Victor Ignacio, RN, EMT

Title

Owner/Ceo

Phone

(650) 483-2169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1952138521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 EL CAMINO REAL STE 424",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302643",
            "telephone_number": "650-880-2588",
            "fax_number": "650-880-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 EL CAMINO REAL STE 424",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302643",
            "telephone_number": "650-880-2588",
            "fax_number": "650-880-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARK AMBULANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREGENTUM INC.",
        "enumeration_date": "2024-09-18",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "MARK VICTOR",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "650-483-2169",
        "authorized_official_credential": "RN, EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Millbrae, CA
• Providers in Millbrae, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.