City of Calexico

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF CALEXICO

Practice address

608 Heber Ave
Calexico, CA 92231-2840

Phone

(760) 768-2130

NPI assigned

Jun 20, 2005

Last updated

Jul 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter F Mercado

Title

Fire Chief

Phone

(760) 768-2130

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1265437701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HEBER AVE",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HEBER AVE",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312840",
            "telephone_number": "760-768-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CALEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "760-768-2130"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590086255",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ35972Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Calexico, CA
• Providers in Calexico, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.