Organization Active NPI

Cencal Fire and EMS Authority

  • Land Ambulance
  • Tracy, CA
National Provider Identifier
1184586828
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CENCAL FIRE AND EMS AUTHORITY
Practice address
835 N Central Ave
Tracy, CA 95376-4105
Phone
(209) 321-4966
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Jonathan Mendoza
Title
EMS Manager
Phone
(209) 831-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

835 N Central Ave
Tracy, CA 95376-4105

Mailing address

835 N Central Ave
Tracy, CA 95376-4105
Phone (209) 831-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521000834 CA Part B Supplier - Ambulance Service Supplier 3072082833 Practice locations: Lodi, CA; Stockton, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1184586828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N CENTRAL AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764105",
            "telephone_number": "209-831-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N CENTRAL AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764105",
            "telephone_number": "209-321-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENCAL FIRE AND EMS AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EMS MANAGER",
        "authorized_official_telephone_number": "209-831-6700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.