Active NPI
Moraga-Orinda Fire Protection District
- Land Ambulance
- Moraga, CA
National Provider Identifier
1649270497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2016
- 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
- Jerry Lee
- Title
- Battalion Chief
- Phone
- (925) 258-4514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE01067F | Medicaid | CA | |
| 590014901 | Other | RRB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120224000674 | CA | Part B Supplier - Ambulance Service Supplier | 5294771168 | Practice locations: Moraga, CA; Orinda, CA |
National Provider Directory
National Provider DirectoryLocations
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.