Organization Active NPI

City of Fullerton

  • Land Ambulance
  • Fullerton, CA
National Provider Identifier
1447391149
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF FULLERTON
Practice address
312 E Commonwealth Ave
Fullerton, CA 92832
Phone
(714) 288-3800
Fax
(714) 288-3891
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Wolfgang Knabe
Title
Fire Chief
Phone
(714) 735-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

312 E Commonwealth Ave
Fullerton, CA 92832

Mailing address

312 E Commonwealth Ave
Fullerton, CA 92832-2017
Phone (714) 288-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180914002769 CA Part B Supplier - Ambulance Service Supplier 6507117421 Practice locations: Fullerton, CA

National Provider Directory

National Provider Directory

Locations

3251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 738-6517

700 S Acacia Ave
Fullerton, CA 92831
Phone (714) 738-6516

2555 Yorba Linda Blvd
Fullerton, CA 92831
Phone (714) 738-6518

2691 Rosecrans Ave
Fullerton, CA 92833
Phone (714) 738-6519

312 E Commonwealth Ave
Fullerton, CA 92832
Phone (714) 738-6513

433 W Bastanchury Rd
Fullerton, CA 92835
Phone (714) 446-7800

1732 W Valencia Dr
Fullerton, CA 92833
Phone (714) 738-6515

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1447391149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322017",
            "telephone_number": "714-288-3800",
            "fax_number": "714-289-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92832",
            "telephone_number": "714-288-3800",
            "fax_number": "714-288-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FULLERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "KNABE",
        "authorized_official_first_name": "WOLFGANG",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "714-735-6500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.