Active NPI
City of Manhattan Beach
- Land Ambulance
- Manhattan Beach, CA
National Provider Identifier
1043216740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF MANHATTAN BEACH
- Practice address
- 1400 Highland Ave
Manhattan Beach, CA 90266-4756 - Phone
- (310) 802-5200
- NPI assigned
- Jun 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Lang
- Title
- Fire Chief
- Phone
- (310) 802-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1400 Highland Ave
Manhattan Beach, CA 90266-4756
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Phone (800) 906-6552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590000740 | Other | RRB | |
| ZZZ480442 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120315000599 | CA | Part B Supplier - Ambulance Service Supplier | 5799713616 | Practice locations: Manhattan Beach, CA |
National Provider Directory
National Provider DirectoryLocations
1400 Highland Ave
Manhattan Beach, CA 90266
Phone (310) 802-5200
400 15th St
Manhattan Beach, CA 90266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1043216740",
"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",
"telephone_number": "800-906-6552",
"fax_number": "916-381-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HIGHLAND AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902664756",
"telephone_number": "310-802-5200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MANHATTAN BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "310-802-5200"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "590000740",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ480442",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.