Ambulance Ordinance


County of San Diego Ordinance number 10274 regulates ambulances, air ambulances, and non-emergency medical transportation services. The Ambulance Ordinance sets operational, administrative, and other standards for these service providers.

The County of San Diego EMS Section issues annual permits to:

  • ambulance companies
  • critical care transport providers
  • air ambulance services
  • non-emergency medical transportation services (e.g., wheelchair vans, gurney vans, and ambulettes)

The annual permit process includes reviewing service requirements including vehicle and equipment inspections.


Agency permitting processes are handled online through the CoSD Local EMS Information System (LEMSIS). More information on CoSD LEMSIS may be found at the CoSD LEMSIS informational site

The LEMSIS License Management Portal may be accessed here. All permit applications, service adminsitrative forms, and personnel, fleet, and CAD updates are processed within the LEMSIS Licesnse Management System.

Have a question? Please contact the EMS Permitting Unit via:



The County of San Diego Emergency Medical Services requires that all ambulance and non-emergency transportation provider hold a valid permit like the image above.