City of Folsom

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF FOLSOM

Practice address

535 Glenn Dr
Folsom, CA 95630

Phone

(916) 984-2284

Fax

(916) 984-7081

NPI assigned

Jun 30, 2005

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Felipe Rodriguez

Title

Fire Chief

Phone

(916) 461-6300

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1619974144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GLENN DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303187",
            "telephone_number": "916-984-2284",
            "fax_number": "916-984-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GLENN DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-984-2284",
            "fax_number": "916-984-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FOLSOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "916-461-6300"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74188Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Folsom, CA
• Providers in Folsom, 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 31, 2018; 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.