City of Santa Clara

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF SANTA CLARA

Doing business as

City of Santa Clara Fire Department

Practice address

1900 Walsh Ave
Santa Clara, CA 95050-2506

Phone

(408) 615-4930

Fax

(408) 988-8153

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Rosa E Avalos, EMT

Title

Staff Aide

Phone

(408) 615-4945

Specialties & licenses 1

Addresses

Other names 1

• City of Santa Clara Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1487788444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WALSH AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502506",
            "telephone_number": "408-615-4945",
            "fax_number": "408-988-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WALSH AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502506",
            "telephone_number": "408-615-4930",
            "fax_number": "408-988-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SANTA CLARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "AVALOS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "STAFF AIDE",
        "authorized_official_telephone_number": "408-615-4945",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Santa Clara Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kwai Ying Chung, FNP-C
• Lydia Chung
• Melody Chung
• Peter Kai-Wong Chung, D.O
• Travis Chung, PHARM. D.
• CL Recovery Center
• Dona J Clair, LMFT
• Mary Melissa Ar Clark-White, LCSW
• Brianna Clark
• Craig William Clark, CRAIG CLARK, MFT

• Ambulance in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.