Organization Active NPI

Sycuan Tribal Government

  • Land Ambulance
  • El Cajon, CA
National Provider Identifier
1043218191
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1570 Issued in CA
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

Updated by the provider on Feb 13, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MTE00410FMedicaidCA

Other names 1

  • Sycuan Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.