Southern Marin Emergency Medical Paramedic System

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHERN MARIN EMERGENCY MEDICAL PARAMEDIC SYSTEM

Practice address

1679 Tiburon Blvd
Tiburon, CA 94920-2511

Phone

(415) 389-4133

NPI assigned

Jul 29, 2005

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Pearce

Title

Fire Chief

Phone

(415) 435-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1023018157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 TIBURON BLVD",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202511",
            "telephone_number": "415-389-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARIN EMERGENCY MEDICAL PARAMEDIC SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "415-435-7200"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00130F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Elizabeth Schoenstadt Kempler, LMFT, ATR-BC
• Homam Sebti, DDS
• Liza Siegel
• Kirsten Siewert, LMFT
• Branko Smida, DDS
• Lauren Stephany, OT
• Susan Howard Stephens, PT MED
• Stan Taubman, PHD
• Tiburon Physical Therapy Center Inc
• Fatai Tokolahi

• Land Ambulance in Tiburon, CA
• Providers in Tiburon, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.