Organization Active NPI

Hesperia Fire Protection District

Doing business as Hesperia Fire Department

  • Land Ambulance
  • Hesperia, CA
National Provider Identifier
1205985793
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HESPERIA FIRE PROTECTION DISTRICT
Doing business as
Hesperia Fire Department
Practice address
17288 Olive St
Hesperia, CA 92345-6012
Phone
(760) 956-2408
Fax
(760) 947-5289
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Michael Sadsad
Title
Administrative Supervisor
Phone
(909) 387-5958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CA Primary

Addresses

Primary practice location

17288 Olive St
Hesperia, CA 92345-6012

Mailing address

PO Box 400049
Hesperia, CA 92340-0049
Phone (760) 956-2408

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ81326ZMedicaidCA
756590449OtherCARAILROAD MCARE

Other names 1

  • Hesperia Fire Department Doing business as

National Provider Directory

National Provider Directory

Locations

17288 Olive St
Hesperia, CA 92345
Phone (619) 947-1600

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1205985793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400049",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923400049",
            "telephone_number": "760-956-2408",
            "fax_number": "760-947-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17288 OLIVE ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456012",
            "telephone_number": "760-956-2408",
            "fax_number": "760-947-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESPERIA FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "SADSAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "909-387-5958"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ81326Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE",
            "identifier": "756590449",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hesperia Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.