Active NPI
Sycuan Tribal Government
- Land Ambulance
- El Cajon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1570
- Legal business name
- SYCUAN TRIBAL GOVERNMENT
- Practice address
- 4921 Dehesa Rd
El Cajon, CA 92019-2929 - Phone
- (619) 445-0707
- Fax
- (619) 445-0901
- NPI assigned
- Jul 12, 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
- Maurice Smith
- Title
- Executive Director
- Phone
- (619) 445-0707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1570 | CA | Primary |
Addresses
Primary practice location
4921 Dehesa Rd
El Cajon, CA 92019-2929
Mailing address
2 Kwaaypaay CT
El Cajon, CA 92019-1832
Phone (619) 445-4564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00410F | Medicaid | CA |
Other names 1
- Sycuan Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080303000487 | CA | Part B Supplier - Ambulance Service Supplier | 3971687799 |
1 other NPI on this enrollment Practice locations: El Cajon, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2 Kwaaypaay Ct
#K
El Cajon, CA 92019
Phone (619) 445-0707
5449 Sycuan Rd
El Cajon, CA 92019
Phone (619) 445-4564
2 Kwaaypaay Ct
El Cajon, CA 92019
Phone 6194450707154
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- El Cajon, CA
- NPI 1043202765
-
- Podiatrist
- La Mesa, CA
- NPI 1093998965
-
- Family Medicine Physician
- San Diego, CA
- NPI 1780770560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1043218191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 KWAAYPAAY CT",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920191832",
"telephone_number": "619-445-4564",
"fax_number": "619-445-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 DEHESA RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920192929",
"telephone_number": "619-445-0707",
"fax_number": "619-445-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYCUAN TRIBAL GOVERNMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MAURICE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "619-445-0707"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CA",
"license": "1570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00410F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sycuan Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.