IndividualActive
Jacob Archer, EMT
NPI 1285218669 · Basic Emergency Medical Technician · Palmdale, CA
Provider details
- NPI number
- 1285218669
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- EMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- E120142 (CA)
Practice location
1607 E Palmdale Blvd Ste D
Palmdale, CA 93550-4880
Phone: (310) 728-9089
Mailing address
1607 E Palmdale Blvd Ste D
Palmdale, CA 93550-4880
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2021-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.