Organization Active NPI

City of Rialto

  • Land Ambulance
  • Rialto, CA
National Provider Identifier
1295734754
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF RIALTO
Practice address
131 S Willow Ave
Rialto, CA 92376-6301
Phone
(909) 820-2501
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Joe Powell
Title
Chief EMS Coordinator
Phone
(909) 820-2657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

131 S Willow Ave
Rialto, CA 92376-6301

Mailing address

PO Box 844453
Los Angeles, CA 90084-4453

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ71909ZMedicaidCA
590134015OtherRRB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050105001054 CA Part B Supplier - Ambulance Service Supplier 6608824743 Practice locations: Rialto, CA

National Provider Directory

National Provider Directory

Locations

1550 N Ayala Dr
Rialto, CA 92376
Phone (909) 820-2501

1700 N Riverside Ave
Rialto, CA 92376
Phone (909) 820-2501

131 S Willow Ave
Rialto, CA 92376
Phone (714) 820-2501

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1295734754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844453",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900844453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S WILLOW AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766301",
            "telephone_number": "909-820-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RIALTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CHIEF EMS COORDINATOR",
        "authorized_official_telephone_number": "909-820-2657"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71909Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590134015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

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