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CSA 17 SAN DIEGUITO AMBULANCE
NPI 1497024731
Ambulance - Land Transport in San Diego, CA

Active since December 15, 2011
5560 OVERLAND AVE STE 400, SAN DIEGO, CA 92123(858) 245-4231 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 22, 2023, Mar 10, 2022, Apr 6, 2021 and 2 more (5 updates tracked since 2016).

About Csa 17 San Dieguito Ambulance NPPES

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

CSA 17 SAN DIEGUITO AMBULANCE (NPI 1497024731) is a healthcare organization registered as a land transport in San Diego, California and active in the NPI registry since December 2011. The organization lists Andrew Dormann Parr, Ems Administrator, as its authorized official.

NPPES Registry Identity

NPI1497024731
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCOUNTY SERVICE AREA NO 17
Location Address5560 OVERLAND AVE STE 400San Diego, CA 92123-1204
Mailing Address5560 Overland Avenue, Suite 400San Diego, CA 92123-1204 · (858) 245-4231
Phone(858) 245-4231
Organization SubpartNo
Authorized OfficialAndrew Dormann ParrEms Administrator · (858) 245-4231
Enumeration DateDecember 15, 2011
Last NPPES UpdateMarch 22, 20235 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1497024731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
5560 OVERLAND AVE STE 400, San Diego, CA 92123
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Other Names 1

Doing Business AsCsa 17 San Dieguito Ambulance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Csa 17 San Dieguito Ambulance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120327000245Non-DME Part B · Ambulance Service SupplierDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 4

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.
14,307 services1,538 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.
2,001 services1,432 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.
191 services173 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
32 services31 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 County Service Area No 17's NPI number?

The NPI number for County Service Area No 17 is 1497024731. It was assigned to this organization in the NPPES registry on December 15, 2011. The provider is doing business as Csa 17 San Dieguito Ambulance.

Where is County Service Area No 17 located?

County Service Area No 17 is located at 5560 Overland Ave Ste 400, San Diego, CA 92123. The listed phone number is (858) 245-4231.

What is County Service Area No 17's specialty?

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

Is County Service Area No 17 enrolled in Medicare?

Yes. County Service Area No 17 is registered in the Medicare PECOS enrollment system.

When is County Service Area No 17's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulance Service Supplier) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for County Service Area No 17 was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.