City of Vacaville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF VACAVILLE

Practice address

650 Merchant St
Vacaville, CA 95688-6908

Phone

(707) 449-5452

NPI assigned

Jul 18, 2005

Last updated

Mar 29, 2022By 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

Kristian Concepcion

Title

Fire Chief

Phone

(707) 449-5462

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

City of Vacaville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vacaville Police Department

  • Case Management Agency
  • Vacaville, CA
  • NPI 1285795484
  NPD tax ID

Locations

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1679572176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MERCHANT ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956886992",
            "telephone_number": "707-449-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MERCHANT ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956886908",
            "telephone_number": "707-449-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VACAVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "707-449-5462"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590480422",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ36848Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Chyu
• Theresa Louise Cicchetto, MFT
• Brittney Cifers
• Taylor Cirillo
• Jimena Cisneros Rodriguez
• Erin Dawn Clark, PHARMD
• Joseph L Clark
• Michael Reed Clark, D.D.S
• Kristina Claudio
• Hang Nguyen Claus, M.D.

• Land Ambulance in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.