Active NPI
City of Rialto
- Land Ambulance
- Rialto, CA
National Provider Identifier
1295734754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ71909Z | Medicaid | CA | |
| 590134015 | Other | RRB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050105001054 | CA | Part B Supplier - Ambulance Service Supplier | 6608824743 | Practice locations: Rialto, CA |
National Provider Directory
National Provider DirectoryLocations
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.