Organization Active NPI

City of Burbank

  • Land Ambulance
  • Burbank, CA
National Provider Identifier
1619972817
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 17, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
756590492OtherRRB
ZZZ79468ZMedicaidCA

Other names 1

  • City of Burbank 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
O20120426000602 CA Part B Supplier - Ambulance Service Supplier 2668400581 Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.