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BLYTHE AMBULANCE SERVICE
NPI 1407864341
Ambulance - Land Transport in Blythe, CA

Active since August 04, 2006CLIA 05D2099465 · Waiver
129 S 1ST ST, BLYTHE, CA 92225(760) 922-8460(760) 883-5011 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, Jun 19, 2024, Feb 11, 2022 and 7 more (10 updates tracked since 2019).

About Blythe Ambulance Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLYTHE AMBULANCE SERVICE (NPI 1407864341) is a healthcare organization registered as a land transport in Blythe, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Timothy Joseph Dorn, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1407864341
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBLYTHE AMBULANCE SERVICE
Location Address129 S 1ST STBlythe, CA 92225-2518
Mailing AddressPo Box 55418Los Angeles, CA 90074-5418 · (800) 913-9106
Phone(760) 922-8460
Fax(760) 883-5011
Organization SubpartNo
Authorized OfficialTimothy Joseph DornChief Administrative Officer · (833) 703-2294
Enumeration DateAugust 4, 2006
Last NPPES UpdateSeptember 15, 202510 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1407864341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in CA · A125
Also ListedAmbulanceTaxonomy 341600000X
129 S 1ST ST, Blythe, CA 92225
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Other Identifiers 2

Medicaid1407864341CA
Medicaid070384AZ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2099465

Blythe Ambulance Service · Blythe, CA
Active · expires Jul 27, 2027
CLIA Number05D2099465
Laboratory TypeAmbulance
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorWilliam S. Dukes
Laboratory Phone(760) 883-5010
Laboratory LocationBlythe Ambulance Service129 S 1st St, Blythe, CA 92225
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
3,917 services261 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
409 services228 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
61 services52 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
38 services35 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
22 services21 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
22 services21 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blythe Ambulance Service's NPI number?

The NPI number for Blythe Ambulance Service is 1407864341. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Blythe Ambulance Service located?

Blythe Ambulance Service is located at 129 S 1st St, Blythe, CA 92225. The listed phone number is (760) 922-8460.

What is Blythe Ambulance Service's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Blythe Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2099465) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blythe Ambulance Service was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.