Individual provider Active NPI

Andrew Clemens Ingraffia, NREMT

  • Basic Emergency Medical Technician
  • Atascadero, CA
National Provider Identifier
1275344913
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E201531 Issued in CA
Practice address
5175 San Jacinto Ave
Atascadero, CA 93422-2947
Phone
(805) 295-1804
NPI assigned
Jan 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E201531 CA Primary

Addresses

Primary practice location

5175 San Jacinto Ave
Atascadero, CA 93422-2947

Mailing address

5175 San Jacinto Ave
Atascadero, CA 93422-2947
Phone (805) 295-1804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E201531CAMDBasic Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1275344913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 SAN JACINTO AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222947",
            "telephone_number": "805-295-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 SAN JACINTO AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222947",
            "telephone_number": "805-295-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAFFIA",
        "first_name": "ANDREW",
        "middle_name": "CLEMENS",
        "credential": "NREMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E201531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.