Organization Active NPI

City of Poway California

  • Land Ambulance
  • Poway, CA
National Provider Identifier
1487756342
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF POWAY CALIFORNIA
Practice address
13325 Civic Center Dr
Poway, CA 92064-5755
Phone
(858) 668-4402
Fax
(858) 668-1209
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Mr. Christopher Hazeltine
Title
City Manager
Phone
(858) 668-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

13325 Civic Center Dr
Poway, CA 92064-5755

Mailing address

13325 Civic Center Dr
Poway, CA 92064-5755
Phone (858) 668-4404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080524000057 CA Part B Supplier - Ambulance Service Supplier 4082783584 Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Locations

14322 Pomerado Rd
Poway, CA 92064
Phone (858) 668-4401

13050 Community Rd
Poway, CA 92064
Phone (619) 679-4218

13325 Civic Center Dr
Poway, CA 92064
Phone (858) 668-4401

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1487756342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 CIVIC CENTER DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645755",
            "telephone_number": "858-668-4404",
            "fax_number": "858-668-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 CIVIC CENTER DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645755",
            "telephone_number": "858-668-4402",
            "fax_number": "858-668-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF POWAY CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "HAZELTINE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "858-668-4501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.