Organization Active NPI

City of Sonoma

Doing business as Sonoma Valley FireMed System

  • Ambulance
  • Sonoma, CA
National Provider Identifier
1386647857
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF SONOMA
Doing business as
Sonoma Valley FireMed System
Practice address
630 Second Street West
Sonoma, CA 95476-6901
Phone
(707) 996-2102
Fax
(707) 996-2868
NPI assigned
May 27, 2005
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Carol Elizabeth Giovanatto
Title
Chief Financial Off.
Phone
(707) 933-2213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

630 Second Street West
Sonoma, CA 95476-6901

Mailing address

#1 The Plaza
Sonoma, CA 95476-6901
Phone (707) 938-3681

Other identifiers 1

IdentifierTypeStateIssuer
MTE00448FMedicaidCA

Other names 1

  • Sonoma Valley FireMed System Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000228 CA Part B Supplier - Ambulance Service Supplier 3779510383 Practice locations: Glen Ellen, CA; Sonoma, CA

National Provider Directory

National Provider Directory

Locations

13445 Arnold Dr
Glen Ellen, CA 95442
Phone (707) 996-2102

1 The Plz
Sonoma, CA 95476

1 W Agua Caliente Rd
Sonoma, CA 95476
Phone (707) 996-2102

630 2nd St W
Sonoma, CA 95476
Phone (707) 996-2102

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1386647857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1 THE PLAZA",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766901",
            "telephone_number": "707-938-3681",
            "fax_number": "707-938-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SECOND STREET WEST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766901",
            "telephone_number": "707-996-2102",
            "fax_number": "707-996-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SONOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "GIOVANATTO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFF.",
        "authorized_official_telephone_number": "707-933-2213"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00448F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma Valley FireMed System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.