MEDICARE: ELITE AMBULANCE

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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1013600964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE AMBULANCE

Provider Business Mailing Address
First Line	:	1575 OLD BAYSHORE HWY STE 100
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-1616
Country	:	US
Telephone Number	:	650-784-5481
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 OLD BAYSHORE HWY STE 100
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-1616
Country	:	US
Telephone Number	:	650-784-5481
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	AYAT DABIT
Credential	:
Telephone Number	:	650-784-5481

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	04/08/2026

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Directions to “ELITE AMBULANCE ” Practice Location

Language	Start Address	Practice Location

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