Active NPI
City of Sonoma
Doing business as Sonoma Valley FireMed System
- Ambulance
- Sonoma, CA
National Provider Identifier
1386647857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2012
- 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
- Carol Elizabeth Giovanatto
- Title
- Chief Financial Off.
- Phone
- (707) 933-2213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00448F | Medicaid | CA |
Other names 1
- Sonoma Valley FireMed System
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060206000228 | CA | Part B Supplier - Ambulance Service Supplier | 3779510383 | Practice locations: Glen Ellen, CA; Sonoma, CA |
National Provider Directory
National Provider DirectoryLocations
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.