Organization Active NPI

Falck Northern California Corp.

  • Ambulance
  • Hayward, CA
National Provider Identifier
1386905016
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1386905016MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.