City of Laguna Beach

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF LAGUNA BEACH

Practice address

505 Forest Ave
Laguna Beach, CA 92651-2332

Phone

(949) 497-0700

Fax

(949) 497-0784

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Andrew James Hill

Title

Deputy Chief

Phone

(949) 497-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1598401515",
    "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",
            "telephone_number": "916-381-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FOREST AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512332",
            "telephone_number": "949-497-0700",
            "fax_number": "949-497-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LAGUNA BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "949-497-0700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Chow
• Clint Robert Christie, M.A.
• Diane Christopherson, D.C.
• Trisha Church
• Brandon Cirbo
• Clark Dentistry, Professional Corporation
• Rebecca Lynne Clark Mane, LMFT
• William B Clark, DDS
• Kassie Claughton, LCSW
• David N Cler, O.D.

• Land Ambulance in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.