City of Coronado
Organization Active NPI Land Ambulance · Coronado, CA
NPI 1487650602 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1487650602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF CORONADO
- Practice address
- 1001 6TH St
Coronado, CA 92118-1711 - Phone
- (619) 522-7374
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Dan Matstro
- Title
- Fire Chirf
- Phone
- (619) 522-7374
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090521000524 | CA | Part B Supplier - Ambulance Service Supplier | 2163571159 | Practice locations: Coronado, CA |
National Provider Directory
Locations
1001 6th St
Coronado, CA 92118
Phone (619) 522-2496
101 Grand Caribe Cswy
Coronado, CA 92118
Phone (619) 522-2496
1825 Strand Way
Coronado, CA 92118
Phone (619) 522-7306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
1001 6TH St
Coronado, CA 92118-1711
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ70368Z | Medicaid | CA |
Other providers in Coronado, CA
- Charlotte a. Lee, M.D., P.a.
- Alexis Guadalupe Chavez
- Byeng Yuen Choi
- Chris S. Pallia, MD, Apc
- Chung Dental Corporation
- Matthew Civilette
- Laura Mead Clapper
- Coastal Concierge Physicians
- Jill Collins
- Kristine Collins
All providers in Coronado, CA · Land Ambulance in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.