Active NPI
City of Downey a Corp
- Land Ambulance
- Downey, CA
National Provider Identifier
1437209541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF DOWNEY A CORP
- Practice address
- 11111 Brookshire Ave
Downey, CA 90241 - Phone
- (562) 904-7254
- Fax
- (562) 904-7270
- NPI assigned
- Jan 11, 2007
- Last updated
- Dec 17, 2019
- 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
- Mr. Mark Gillaspie
- Title
- Fire Chief
- Phone
- (562) 904-8344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
11111 Brookshire Ave
Downey, CA 90241
Mailing address
11111 Brookshire Ave
Downey, CA 90241-3817
Phone (562) 904-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00239F | 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 |
|---|---|---|---|---|
| O20080304000524 | CA | Part B Supplier - Ambulance Service Supplier | 2062597883 | Practice locations: Downey, CA |
National Provider Directory
National Provider DirectoryLocations
11111 Brookshire Ave
Downey, CA 90241
Phone (562) 904-7031
12222 Paramount Blvd
Downey, CA 90242
Phone (562) 904-7031
9349 Florence Ave
Downey, CA 90240
Phone (562) 904-7246
9556 Imperial Hwy
Downey, CA 90242
Phone (562) 904-7321
9900 Paramount Blvd
Downey, CA 90240
Phone (562) 904-7324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1437209541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 BROOKSHIRE AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902413817",
"telephone_number": "562-904-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 BROOKSHIRE AVE",
"city": "DOWNEY",
"state": "CA",
"postal_code": "90241",
"telephone_number": "562-904-7254",
"fax_number": "562-904-7270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF DOWNEY A CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "GILLASPIE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "562-904-8344",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00239F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.