Organization Active NPI

Aegis Ambulance Service Inc

  • Land Ambulance
  • Monrovia, CA
National Provider Identifier
1952437576
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
A174 Issued in CA
Legal business name
AEGIS AMBULANCE SERVICE INC
Practice address
140 W Chestnut Ave
Monrovia, CA 91016-3412
Phone
(626) 685-9410
Fax
(626) 685-9414
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Mrs. Catherine Johnson
Title
Office Manager
Phone
(626) 685-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X A174 CA Primary

Addresses

Primary practice location

140 W Chestnut Ave
Monrovia, CA 91016-3412

Mailing address

140 W Chestnut Ave
Monrovia, CA 91016-3412
Phone (626) 685-9410

Other identifiers 2

IdentifierTypeStateIssuer
MTE00944FMedicaidCA
590011955OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

140 W Chestnut Ave
Monrovia, CA 91016
Phone (620) 685-9410

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1952437576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W CHESTNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163412",
            "telephone_number": "626-685-9410",
            "fax_number": "626-685-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W CHESTNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163412",
            "telephone_number": "626-685-9410",
            "fax_number": "626-685-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-685-9410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "A174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00944F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011955",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.