Active NPI
City of Newport Beach
- Land Ambulance
- Newport Beach, CA
National Provider Identifier
1679579296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00861F | Medicaid | CA | |
| 590010979 | Other | CA | RAILROAD MEDICARE |
Other names 1
- Newport Beach Fire Department Paramedic Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221001053 | CA | Part B Supplier - Ambulance Service Supplier | 8527226570 | Practice locations: Corona del Mar, CA; Newport Beach, CA |
National Provider Directory
National Provider DirectoryLocations
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.