Active NPI
County of El Dorado
Doing business as El Dorado County Ambulance
- Land Ambulance
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COUNTY OF EL DORADO
- Doing business as
- El Dorado County Ambulance
- Practice address
- 2900 Fairlane CT
Placerville, CA 95667 - Phone
- (530) 621-6500
- Fax
- (530) 621-2758
- NPI assigned
- Sep 20, 2006
- Last updated
- Sep 8, 2026
- Organization subpart
- Yes
- Parent organization
- COUNTY OF EL DORADO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Brian Apodaca
- Title
- Administrative Analyst Supervisor
- Phone
- (530) 621-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
2900 Fairlane CT
Placerville, CA 95667
Mailing address
2900 Fairlane CT
Placerville, CA 95667-4108
Phone (530) 621-6505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590011926 | Other | CA | RRB |
| ZZZ74789Z | Medicaid | CA |
Other names 1
- El Dorado County Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120306000680 | CA | Part B Supplier - Ambulance Service Supplier | 4981764552 | Practice locations: Homewood, CA; South Lake Tahoe, CA; Shingle Springs, CA; Pollock Pines, CA; Placerville, CA; Georgetown, CA; El Dorado Hills, CA; Diamond Springs, CA… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0867396 | El Dorado County EMS Agency | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- El Dorado County Health
- Part of
- El Dorado County Health
Other organizations with this tax ID 21
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Placerville, CA
- NPI 1053839092
-
- Community/Behavioral Health Agency
- South Lake Tahoe, CA
- NPI 1063615490
-
- Community/Behavioral Health Agency
- Diamond Springs, CA
- NPI 1255534582
-
- Community/Behavioral Health Agency
- Placerville, CA
- NPI 1548881634
-
- Community/Behavioral Health Agency
- Shingle Springs, CA
- NPI 1720505779
-
- Prison Health Clinic/Center
- Placerville, CA
- NPI 1962236414
-
dba El Dorado County Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Diamond Springs, CA
- NPI 1518178193
-
dba South Lake Tahoe MTU
- Rehabilitation Clinic/Center
- South Lake Tahoe, CA
- NPI 1730212937
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1306185830
-
- State or Local Public Health Clinic/Center
- Placerville, CA
- NPI 1275795692
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Placerville, CA
- NPI 1679774822
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Diamond Springs, CA
- NPI 1316158082
Locations
3200 Country Club Dr
Cameron Park, CA 95682
Phone (530) 677-6190
501 Main St
Diamond Springs, CA 95619
Phone (530) 626-3190
1050 Wilson Blvd
El Dorado Hills, CA 95762
Phone (916) 933-6623
6283 Main St
Georgetown, CA 95634
Phone (530) 333-4111
3034 Sacramento St
Placerville, CA 95667
Phone (530) 626-2521
415 Placerville Dr
Ste J
Placerville, CA 95667
Phone (530) 621-6505
415 Placerville Dr
Ste M
Placerville, CA 95667
Phone (530) 626-8549
4429 Pleasant Valley Rd
Placerville, CA 95667
Phone (530) 644-9643
730 Main St
Placerville, CA 95667
Phone (530) 626-2521
931 Spring St
Placerville, CA 95667
Phone (530) 621-6100
6430 Pony Express Trl
Pollock Pines, CA 95726
3860 Ponderosa Rd
Shingle Springs, CA 95682
Phone (530) 677-2212
2101 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone (530) 542-6163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1558469296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 FAIRLANE CT",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674108",
"telephone_number": "530-621-6505",
"fax_number": "530-621-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FAIRLANE CT",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "95667",
"telephone_number": "530-621-6500",
"fax_number": "530-621-2758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF EL DORADO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF EL DORADO",
"enumeration_date": "2006-09-20",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "APODACA",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "ADMINISTRATIVE ANALYST SUPERVISOR",
"authorized_official_telephone_number": "530-621-6500"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "590011926",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ74789Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "El Dorado County Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "El Dorado County Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.