Active NPI
City of Milpitas
- Ambulance
- Milpitas, CA
National Provider Identifier
1609334804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF MILPITAS
- Practice address
- 777 S Main St
Milpitas, CA 95035-5322 - Phone
- (408) 586-2818
- Fax
- (408) 942-3269
- NPI assigned
- Mar 6, 2019
- 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
- Kenju Suzuki
- Title
- Fire Chief EMS
- Phone
- (408) 586-2824
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
777 S Main St
Milpitas, CA 95035-5322
Mailing address
777 S Main St
Milpitas, CA 95035-5322
Phone (408) 586-2818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609334804 | Medicaid | CA |
Other names 1
- Milpitas Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200402003247 | CA | Part B Supplier - Ambulance Service Supplier | 5496184020 | Practice locations: Milpitas, CA |
National Provider Directory
National Provider DirectoryLocations
777 S Main St
Milpitas, CA 95035
Phone (408) 586-2818
1263 Yosemite Dr
Milpitas, CA 95035
Phone (408) 262-6019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1609334804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 S MAIN ST",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950355322",
"telephone_number": "408-586-2818",
"fax_number": "408-942-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S MAIN ST",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950355322",
"telephone_number": "408-586-2818",
"fax_number": "408-942-3269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MILPITAS",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-06",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "SUZUKI",
"authorized_official_first_name": "KENJU",
"authorized_official_title_or_position": "FIRE CHIEF EMS",
"authorized_official_telephone_number": "408-586-2824"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609334804",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Milpitas Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.