Active NPI
City of San Diego
- Land Ambulance
- San Diego, TX
National Provider Identifier
1578677696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 066007
- Legal business name
- CITY OF SAN DIEGO
- Doing business as
- City of San Diego EMS
- Practice address
- 100 S Dr Ee Dunlap Hwy
San Diego, TX 78384-3202 - Phone
- (361) 279-3321
- Fax
- (361) 279-3401
- NPI assigned
- Aug 18, 2006
- 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
- David Lopez Jr.
- Title
- Director
- Phone
- (361) 279-3321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 066007 | TX | Primary |
Addresses
Primary practice location
100 S Dr Ee Dunlap Hwy
San Diego, TX 78384-3202
Mailing address
404 S Mier St
San Diego, TX 78384-3108
Phone (361) 279-3321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000510001 | Medicaid | TX |
Other names 1
- City of San Diego EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090922000239 | TX | Part B Supplier - Ambulance Service Supplier | 4486700150 | Practice locations: San Diego, TX |
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 |
|---|---|---|---|
| 45D1054006 | City of San Diego EMS | Certificate of waiver | May 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
401 S Dunlap St
San Diego, TX 78384
Phone (361) 279-3321
404 S Mier St
San Diego, TX 78384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1578677696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 S MIER ST",
"city": "SAN DIEGO",
"state": "TX",
"postal_code": "783843108",
"telephone_number": "361-279-3321",
"fax_number": "361-279-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S DR EE DUNLAP HWY",
"city": "SAN DIEGO",
"state": "TX",
"postal_code": "783843202",
"telephone_number": "361-279-3321",
"fax_number": "361-279-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "361-279-3321",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "066007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000510001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of San Diego EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.