American Ambulance is the sole 9-1-1 provider for the Exclusive Operating Area of Kings County and Fresno County in Central California. Our Paramedics and Emergency Medical Technicians respond to over 4000 square miles and 135,000 calls annually. American Ambulance employs over 550 people and maintains more than 87 ambulances. We operate one of the most unique and diverse EMS systems in the State of California.