Organization Active NPI

City of Milpitas

  • Ambulance
  • Milpitas, CA
National Provider Identifier
1609334804
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Mar 31, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1609334804MedicaidCA

Other names 1

  • Milpitas Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200402003247 CA Part B Supplier - Ambulance Service Supplier 5496184020 Practice locations: Milpitas, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.