Organization Active NPI

Moraga-Orinda Fire Protection District

  • Land Ambulance
  • Moraga, CA
National Provider Identifier
1649270497
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MORAGA-ORINDA FIRE PROTECTION DISTRICT
Practice address
1280 Moraga Orinda Way
Moraga, CA 94566
Phone
(925) 258-4535
NPI assigned
Jul 22, 2005
Last updated
Oct 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Jerry Lee
Title
Battalion Chief
Phone
(925) 258-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1280 Moraga Orinda Way
Moraga, CA 94566

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

Other identifiers 2

IdentifierTypeStateIssuer
MTE01067FMedicaidCA
590014901OtherRRB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120224000674 CA Part B Supplier - Ambulance Service Supplier 5294771168 Practice locations: Moraga, CA; Orinda, CA

National Provider Directory

National Provider Directory

Locations

1280 Moraga Way
Moraga, CA 94556
Phone (925) 258-4535

1284 Moraga Way
Moraga, CA 94556
Phone (925) 258-4535

20 Via Las Cruces
Orinda, CA 94563
Phone (925) 258-4535

33 Orinda Way
Orinda, CA 94563
Phone (925) 258-4535

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1649270497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 MORAGA ORINDA WAY",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "94566",
            "telephone_number": "925-258-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAGA-ORINDA FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "BATTALION CHIEF",
        "authorized_official_telephone_number": "925-258-4514"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01067F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590014901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.