Citywide Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITYWIDE AMBULANCE LLC

Practice address

2128 S Atlantic Blvd
Commerce, CA 90040-1320

Phone

(213) 461-2221

Fax

(323) 443-8880

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Zohrab Grigoryan

Title

President

Phone

(213) 600-0007

Specialties & licenses 1

Addresses

Other names 1

• Citywide Ambulance LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1992530034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 S ATLANTIC BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401320",
            "telephone_number": "213-461-2221",
            "fax_number": "323-443-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 S ATLANTIC BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401320",
            "telephone_number": "213-461-2221",
            "fax_number": "323-443-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "ZOHRAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-600-0007"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citywide Ambulance LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jae Hoo Choi
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• Nancy E. Cohoon

• Land Ambulance in Commerce, CA
• Providers in Commerce, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.