Organization Active NPI

City of Escondido

  • Land Ambulance
  • Escondido, CA
National Provider Identifier
1548266455
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF ESCONDIDO
Practice address
201 N Broadway
Escondido, CA 92025-2709
Phone
(760) 839-5400
NPI assigned
Jun 24, 2005
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
John Tenger
Title
Fire Chief
Phone
(760) 839-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

201 N Broadway
Escondido, CA 92025-2709

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ78852ZMedicaidCA
590004514OtherCARRB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809000496 CA Part B Supplier - Ambulance Service Supplier 8921037086 Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Locations

1163 N Centre City Pkwy
Escondido, CA 92026
Phone (760) 839-4860

1220 N Ash St
Escondido, CA 92027
Phone (760) 839-5400

1808 N Nutmeg St
Escondido, CA 92026
Phone (760) 839-5400

201 N Broadway
Escondido, CA 92025
Phone (619) 741-4860

2319 Felicita Rd
Escondido, CA 92029
Phone (760) 839-5400

310 N Quince St
Escondido, CA 92025
Phone (760) 839-5400

421 N Midway Dr
Escondido, CA 92027
Phone (750) 839-5400

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1548266455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BROADWAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252709",
            "telephone_number": "760-839-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ESCONDIDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "TENGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "760-839-5402"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ78852Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590004514",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.