Organization Active NPI

City of San Diego

  • Land Ambulance
  • San Diego, TX
National Provider Identifier
1578677696
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
066007 Issued in TX
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

Updated by the provider on Feb 4, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000510001MedicaidTX

Other names 1

  • City of San Diego EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090922000239 TX Part B Supplier - Ambulance Service Supplier 4486700150 Practice locations: San Diego, TX

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
45D1054006City of San Diego EMS100 S Dr Ee Dunlap Hwy, San Diego, TX 78384Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.