AMERICAN MEDICAL RESPONSE WEST (NPI# 1134147150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134147150 |
| Entity Type | Organization |
| Organization Name | AMERICAN MEDICAL RESPONSE WEST |
| Other Organization Name | AMERICAN MEDICAL RESPONSE |
| Practice Address |
3755 West Ln Stockton CA 95204-2431 |
| Mailing Address |
Po Box 742464 Los Angeles CA 90074-2464 |
| Practice Telephone | 2099485136 |
| Mailing Telephone | 3034951748 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | EDWARD VAN HORNE (CEO & PRESIDENT) |
| Authorized Official Telephone | 3034951220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ76552Z | 05 | |
| CA | SECTION 1011 | CA0000D100053 | 01 |
| Other Name | Type Code |
|---|---|
| American Medical Response | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 S Fresno St, Stockton, CA 952033007 | 2099440606 | 2099431936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932127578 | American Medical Response West | Ambulance | 1255 Triangle Ct, West Sacramento, CA 95605-2343 | 2006-07-18 |
| 1720012925 | American Medical Response West | Ambulance | 930 S A St, Santa Rosa, CA 95404-5439 | 2006-07-11 |
| 1508890831 | American Medical Response West | Ambulance | 1101 Fee Dr, Sacramento, CA 95815-3909 | 2006-07-11 |
| 1972537173 | American Medical Response West | Ambulance | 10 Victor Sq, Scotts Valley, CA 95066-3562 | 2006-07-11 |
| 1770517971 | American Medical Response West | Ambulance | 2400 Bisso Ln, Concord, CA 94520-4832 | 2006-07-11 |
| 1306870621 | American Medical Response West | Ambulance | 640 143rd Ave, San Leandro, CA 94578-3304 | 2006-07-11 |
| 1659305902 | American Medical Response West | Ambulance | 1510 Rollins Rd, Burlingame, CA 94010-2306 | 2006-07-11 |
| 1538193727 | American Medical Response West | Ambulance | 17 Woodland Ave, San Rafael, CA 94901-5301 | 2006-07-11 |
| 1588698781 | American Medical Response West | Ambulance | 400 S Fresno St, Stockton, CA 95203-3007 | 2006-07-11 |
| 1316971518 | American Medical Response West | Ambulance | 1300 Illinois St, San Francisco, CA 94107-3107 | 2006-07-11 |
| Street Address |
3755 WEST LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861579674 | Rajs Transport | Ambulance | 639 Riley Ford Lane, Stockton, CA 95206-6289 | 2006-11-01 |
| 1982786356 | City of Stockton | Ambulance | 115 S Walnut St, Stockton, KS 67669-1985 | 2006-10-19 |
| 1588698781 | American Medical Response West | Ambulance | 400 S Fresno St, Stockton, CA 95203-3007 | 2006-07-11 |
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| 1194373431 | County of Los Angeles | Ambulance | 1320 N Eastern Ave, Los Angeles, CA 90063-3244 | 2019-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.