Organization Active NPI

City of Downey a Corp

  • Land Ambulance
  • Downey, CA
National Provider Identifier
1437209541
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MTE00239FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000524 CA Part B Supplier - Ambulance Service Supplier 2062597883 Practice locations: Downey, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.