Active NPI
City of Fullerton
- Land Ambulance
- Fullerton, CA
National Provider Identifier
1447391149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180914002769 | CA | Part B Supplier - Ambulance Service Supplier | 6507117421 | Practice locations: Fullerton, CA |
National Provider Directory
National Provider DirectoryLocations
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.