Active NPI
Falck Northern California Corp.
- Ambulance
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- FALCK NORTHERN CALIFORNIA CORP.
- Practice address
- 28333 Industrial Blvd
Hayward, CA 94545-4428 - Phone
- (844) 622-3926
- NPI assigned
- May 29, 2012
- Organization subpart
- Yes
- Parent organization
- FALCK USA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Richmond
- Title
- Chief Legal Counsel
- Phone
- (425) 478-8318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
28333 Industrial Blvd
Hayward, CA 94545-4428
Mailing address
28333 Industrial Blvd
Hayward, CA 94545-4428
Phone (844) 622-3926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386905016 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121113000357 | CA | Part B Supplier - Ambulance Service Supplier | 5597916924 | Practice locations: Hayward, CA; Livermore, CA |
National Provider Directory
National Provider Directory- Part of
- Falck USA Inc
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
165 Mason Cir
Concord, CA 94520
Phone (925) 446-6700
23133 Kidder St
Hayward, CA 94545
28333 Industrial Blvd
Hayward, CA 94545
Phone (844) 622-3926
283 E Airway Blvd
Livermore, CA 94551
Phone (510) 506-9555
4604 Roseville Rd
North Highlands, CA 95660
40 Berry Dr
Pacheco, CA 94553
6050 Commerce Blvd
Ste 102
Rohnert Park, CA 94928
Phone (855) 325-2562
585 Taylor Way
Ste 67
San Carlos, CA 94070
1040 Commercial St
Ste 109
San Jose, CA 95112
17 Woodland Ave
San Rafael, CA 94901
Phone (415) 451-8263
3633 Regional Pkwy
Santa Rosa, CA 95403
29355 Arnold Dr
Sonoma, CA 95476
1800 N State St
Ukiah, CA 95482
168 Washington Ave
Ukiah, CA 95482
855 Cotting Ln
Vacaville, CA 95688
1155 S Main St
Ste 103
Willits, CA 95490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1386905016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28333 INDUSTRIAL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454428",
"telephone_number": "844-622-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28333 INDUSTRIAL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945454428",
"telephone_number": "844-622-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALCK NORTHERN CALIFORNIA CORP.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FALCK USA, INC.",
"enumeration_date": "2012-05-29",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "RICHMOND",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CHIEF LEGAL COUNSEL",
"authorized_official_telephone_number": "425-478-8318",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386905016",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.