Organization Active NPI

County of El Dorado

Doing business as El Dorado County Ambulance

  • Land Ambulance
  • Placerville, CA
National Provider Identifier
1558469296
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF EL DORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590011926OtherCARRB
ZZZ74789ZMedicaidCA

Other names 1

  • El Dorado County Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0867396El Dorado County EMS Agency2900 Fairlane Court, Placerville, CA 95667Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
El Dorado County Health22 organizations share this tax ID, including this one
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.

View all 21

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.

Verify at the official NPI Registry.