North Star Emergency Services, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1880 Issued in CA

Legal business name

NORTH STAR EMERGENCY SERVICES, INC.

Doing business as

NORCAL Ambulance

Practice address

3174 Constitution Dr
Livermore, CA 94551-7570

Phone

(925) 452-8300

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Karla Nazareno

Title

Ceo and Founder

Phone

(925) 487-9642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORCAL Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1053475905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12347",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882347",
            "telephone_number": "925-452-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 CONSTITUTION DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517570",
            "telephone_number": "925-452-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR EMERGENCY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "NAZARENO",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "925-487-9642"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01183F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORCAL Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORCAL Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Livermore, CA
• Providers in Livermore, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.