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AMBUSERVE INC. NPI 1003855883


NPI Information

NPI: 1003855883
Provider Name: AMBUSERVE, INC.

Doing Business As: SHORELINE AMBULANCE

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
15105 S BROADWAY ST
GARDENA, CA
ZIP 90248
Phone: (310) 644-0500
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AMBUSERVE, INC. is an ambulance in Gardena, CA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). AMBUSERVE, INC. NPI is 1003855883. The provider is registered as an organization entity type.
The provider Is Doing Business As Shoreline Ambulance.

The provider's business location address is:

15105 S BROADWAY ST
GARDENA, CA
ZIP 90248-821
Phone: (310) 644-0500
Fax: (310) 644-4500

The provider's authorized official is Melissa Harris .
The authorized official title is Owner and has the following contact phone number (310) 644-0500.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 6/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulance=========CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MTE01113FMEDICAIDCALIFORNIA
2Z506MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.