Active NPI
City of Burbank
- Land Ambulance
- Burbank, CA
National Provider Identifier
1619972817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF BURBANK
- Practice address
- 311 E Orange Grove Ave
Burbank, CA 91502-1221 - Phone
- (818) 238-3473
- NPI assigned
- Jun 15, 2005
- 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
- Eric Garcia
- Title
- Fire Chief
- Phone
- (818) 238-3473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
311 E Orange Grove Ave
Burbank, CA 91502-1221
Mailing address
PO Box 276048
Sacramento, CA 95827-6048
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756590492 | Other | RRB | |
| ZZZ79468Z | Medicaid | CA |
Other names 1
- City of Burbank 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 |
|---|---|---|---|---|
| O20120426000602 | CA | Part B Supplier - Ambulance Service Supplier | 2668400581 | Practice locations: Burbank, CA |
National Provider Directory
National Provider DirectoryLocations
1420 W Verdugo Ave
#15
Burbank, CA 91506
Phone (818) 238-3473
311 E Orange Grove Ave
Burbank, CA 91502
Phone (818) 238-3473
2713 Thornton Ave
#13
Burbank, CA 91504
Phone (818) 238-3473
275 E Olive Ave
Burbank, CA 91502
Phone (818) 238-3473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1619972817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276048",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958276048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E ORANGE GROVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021221",
"telephone_number": "818-238-3473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF BURBANK",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-15",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "818-238-3473"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "756590492",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ79468Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Burbank Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "City of Burbank Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.