Organization Active NPI

City of Newport Beach

  • Land Ambulance
  • Newport Beach, CA
National Provider Identifier
1679579296
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF NEWPORT BEACH
Practice address
100 Civic Center Dr Bay 2B
Newport Beach, CA 92660-3267
Phone
(949) 644-3355
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Jeff Boyles
Title
Fire Chief
Phone
(949) 644-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

100 Civic Center Dr Bay 2B
Newport Beach, CA 92660-3267

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

Other identifiers 2

IdentifierTypeStateIssuer
MTE00861FMedicaidCA
590010979OtherCARAILROAD MEDICARE

Other names 1

  • Newport Beach Fire Department Paramedic Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221001053 CA Part B Supplier - Ambulance Service Supplier 8527226570 Practice locations: Corona del Mar, CA; Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

410 Marigold Ave
Corona del Mar, CA 92625
Phone (949) 644-3104

100 Civic Center Dr
#2B
Newport Beach, CA 92660
Phone (949) 644-3355

868 Santa Barbara Dr
Newport Beach, CA 92660
Phone (949) 644-3104

475 32nd St
Newport Beach, CA 92663
Phone (949) 644-3104

100 Civic Center Dr
Newport Beach, CA 92660
Phone (949) 644-3104

3300 Newport Blvd
Newport Beach, CA 92663
Phone (949) 644-3104

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1679579296",
    "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": "100 CIVIC CENTER DR BAY 2B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603267",
            "telephone_number": "949-644-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEWPORT BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "949-644-3355"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00861F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010979",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Beach Fire Department Paramedic Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.