Organization Active NPI

Orland Community Ambulance Association Inc

  • Ambulance
  • Orland, CA
National Provider Identifier
1356352371
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ORLAND COMMUNITY AMBULANCE ASSOCIATION INC
Doing business as
Westside Ambulance Association Inc
Practice address
604 4TH Street
Orland, CA 95963
Phone
(530) 865-3998
Fax
(530) 865-5981
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Brandy Knox
Title
Manager
Phone
(530) 865-3998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

604 4TH Street
Orland, CA 95963

Mailing address

604 4TH Street
PO Box 4527
Orland, CA 95963
Phone (530) 865-3998

Other identifiers 3

IdentifierTypeStateIssuer
244744OtherOROMAP
590480099OtherCARAILROAD MEDICARE
ZZZ32635ZMedicaidCA

Other names 1

  • Westside Ambulance Association Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120621000308 CA Part B Supplier - Ambulance Service Supplier 5890959951 Practice locations: Orland, CA

National Provider Directory

National Provider Directory

Locations

604 4th St
Orland, CA 95963
Phone (530) 865-3998

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1356352371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 4TH STREET",
            "address_2": "PO BOX 4527",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "95963",
            "telephone_number": "530-865-3998",
            "fax_number": "530-865-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 4TH STREET",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "95963",
            "telephone_number": "530-865-3998",
            "fax_number": "530-865-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND COMMUNITY AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-865-3998"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "244744",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590480099",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ32635Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Ambulance Association Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Ambulance Association Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.