MEDICARE: WEST VALLEY EMS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1457057291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST VALLEY EMS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 3004
Second Line	:
City	:	ROMA
State	:	TX
Zip	:	78584-3004
Country	:	US
Telephone Number	:	956-844-6749
Fax Number	:

Provider Business Practice Location Address
First Line	:	2544 CENTRAL PALM DR STE 102
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6667
Country	:	US
Telephone Number	:	956-353-6288
Fax Number	:	956-446-9161

Authorized Official
Title or Position	:	OWNER
Name	:	LUIS A SANDOVAL JR.
Credential	:	PRESIDENT
Telephone Number	:	956-844-6749

Provider Enumeration Date	:	02/03/2023
Last Update Date	:	05/08/2026

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