Organization Active NPI

County Medical Response LLC

  • Ambulance
  • Yuba City, CA
National Provider Identifier
1063241867
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
COUNTY MEDICAL RESPONSE LLC
Practice address
2191 Sanborn Rd
Yuba City, CA 95993-9256
Phone
(530) 713-6631
NPI assigned
Jul 30, 2024
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Ulises Teyes
Title
Owner
Phone
(530) 713-6631

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

2191 Sanborn Rd
Yuba City, CA 95993-9256

Mailing address

1282 Stabler LN Ste 630-171
Yuba City, CA 95993-2625
Phone (530) 713-6631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620000163 CA Part B Supplier - Ambulance Service Supplier 0547772147 Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory

Locations

1282 Stabler Ln
#630171
Yuba City, CA 95993

1282 Stabler Ln
Ste 630171
Yuba City, CA 95993

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1063241867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 STABLER LN STE 630-171",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932625",
            "telephone_number": "530-713-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 SANBORN RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939256",
            "telephone_number": "530-713-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY MEDICAL RESPONSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "TEYES",
        "authorized_official_first_name": "ULISES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-713-6631"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.