Healthcare Provider Details

I. General information

NPI: 1972537173
Provider Name (Legal Business Name): AMERICAN MEDICAL RESPONSE WEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 PAUL SWEET RD
SANTA CRUZ CA
95065-1520
US

IV. Provider business mailing address

PO BOX 742464
LOS ANGELES CA
90074-2464
US

V. Phone/Fax

Practice location:
  • Phone: 831-423-7030
  • Fax: 831-534-0213
Mailing address:
  • Phone: 800-913-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY JOSEPH DORN
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 833-703-2294