Organization Active NPI

Novato Fire Protection District

  • Ambulance
  • Novato, CA
National Provider Identifier
1528170602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ71392ZMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000838 CA Part B Supplier - Ambulance Service Supplier 1254372733 Practice locations: Novato, CA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.