Active NPI
Novato Fire Protection District
- Ambulance
- Novato, CA
National Provider Identifier
1528170602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- NOVATO FIRE PROTECTION DISTRICT
- Practice address
- 7025 Redwood Blvd
Novato, CA 94945-4101 - Phone
- (415) 878-2690
- Fax
- (415) 878-2660
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2020
- 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
- Marc A Revere
- Title
- Fire Chief
- Phone
- (415) 878-2690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
7025 Redwood Blvd
Novato, CA 94945-4101
Mailing address
95 Rowland Way
Novato, CA 94945-5001
Phone (415) 878-2690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ71392Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050513000838 | CA | Part B Supplier - Ambulance Service Supplier | 1254372733 | Practice locations: Novato, CA |
National Provider Directory
National Provider DirectoryLocations
319 Enfrente Rd
Novato, CA 94949
Phone (415) 878-2690
450 Atherton Ave
Novato, CA 94945
Phone (415) 878-2642
65 San Ramon Way
Novato, CA 94945
Phone (415) 878-2642
7025 Redwood Blvd
Novato, CA 94945
Phone (415) 878-2642
95 Rowland Way
Novato, CA 94945
Phone (415) 878-2642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528170602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 ROWLAND WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455001",
"telephone_number": "415-878-2690",
"fax_number": "415-878-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 REDWOOD BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949454101",
"telephone_number": "415-878-2690",
"fax_number": "415-878-2660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVATO FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REVERE",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "415-878-2690"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ71392Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
- Novato Back Care and Sports Physical Therapy
- Novato Charter School
- Novato Dermatology Associates a Medical Corporation
- Novato Endoscopy Center LLC
- Novato Family Dental Care
- Novato Healthcare Center, LLC (Novato Healthcare Center)
- Novato Internal Medicine Associates
- Novato Unified School District
- Maya Noyman-Fain, M.D.
- Vy Jamie Nugent
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.