NPIMap

Organization Active NPI

County of Marin

Doing business as Marin County Fire Department

  • Land Ambulance
  • Woodacre, CA
National Provider Identifier
1386644797
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF MARIN
Doing business as
Marin County Fire Department
Practice address
33 Castle Rock
Woodacre, CA 94973
Phone
(415) 499-6717
NPI assigned
Jul 28, 2005
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Jason Weber
Title
Fire Chief
Phone
(415) 473-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

33 Castle Rock
Woodacre, CA 94973

Mailing address

PO Box 518
Woodacre, CA 94973-0518

Other identifiers 2

IdentifierTypeStateIssuer
590007410OtherRRB
MTE00638FMedicaidCA

Other names 1

  • Marin County Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000565 CA Part B Supplier - Ambulance Service Supplier 1153225065 Practice locations: Point Reyes Station, CA; Woodacre, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Marin County Fire Dept22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

1600 Los Gamos Dr
Ste 300
San Rafael, CA 94903
Phone (415) 491-7231

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1386644797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "WOODACRE",
            "state": "CA",
            "postal_code": "949730518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CASTLE ROCK",
            "city": "WOODACRE",
            "state": "CA",
            "postal_code": "94973",
            "telephone_number": "415-499-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MARIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "415-473-4100"
    },
    "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": "590007410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00638F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin County Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodacre, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.