City of San Gabriel

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF SAN GABRIEL

Practice address

425 S Mission Dr
San Gabriel, CA 91776-1253

Phone

(626) 308-2880

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Mendoza

Title

Executive Assistant

Phone

(626) 308-2880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of San Gabriel Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1427115377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S MISSION DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761253",
            "telephone_number": "626-308-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAN GABRIEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "626-308-2880"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ43146Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of San Gabriel Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Chung, O.D.
• Jenny Chen Chung, DDS
• Johnson Ling-Hung Chung, DMD
• Ling-Ling Chung, PRH
• Michael Chung, D.D.S., M.D.
• Christina Co, PA-C
• Ethan Co, DDS
• Edward S Colby, M.D.
• Comfort Dental
• Community Home Healthcare Inc

• Ambulance in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.