Organization Active NPI

San Ramon Valley Fire Protection District

  • Land Ambulance
  • San Ramon, CA
National Provider Identifier
1083614374
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SAN RAMON VALLEY FIRE PROTECTION DISTRICT
Practice address
1500 Bollinger Canyon Rd
San Ramon, CA 94583-1756
Phone
(925) 838-6600
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Craig Bowen
Title
Fire Chief
Phone
(925) 838-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1500 Bollinger Canyon Rd
San Ramon, CA 94583-1756

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

Other identifiers 1

IdentifierTypeStateIssuer
MTE00212FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060417000295 CA Part B Supplier - Ambulance Service Supplier 3173532330 Practice locations: Blackhawk, CA; San Ramon, CA; Danville, CA; Alamo, CA

National Provider Directory

National Provider Directory

Locations

505 Silver Oak Ln
Blackhawk, CA 94506
Phone (925) 838-6635

1051 Diablo Rd
Danville, CA 94526
Phone (925) 838-6633

800 San Ramon Valley Blvd
Danville, CA 94526
Phone (925) 838-6631

1500 Bollinger Canyon Rd
San Ramon, CA 94583
Phone (925) 838-6600

11445 Windemere Pkwy
San Ramon, CA 94582
Phone (925) 838-6630

12599 Alcosta Blvd
San Ramon, CA 94583
Phone (925) 838-6634

9399 Fircrest Ln
San Ramon, CA 94583
Phone (925) 838-6639

Practitioners & affiliated clinicians

Practitioners 1

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1083614374",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BOLLINGER CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831756",
            "telephone_number": "925-838-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAMON VALLEY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "925-838-6601"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00212F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.