Yucca Valley Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

YUCCA VALLEY FIRE DISTRICT

Practice address

57485 Aviation Dr
Yucca Valley, CA 92284-3009

Phone

(760) 365-3335

NPI assigned

Mar 23, 2007

Last updated

Apr 8, 2008By 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

Pat Dennen

Title

Fire Chief

Phone

(909) 387-6158

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lake Arrowhead Fire District

  • Land Ambulance
  • Lake Arrowhead, CA
  • NPI 1922126572

  O20050427001193

  Same enrollment
• Lake Havasu Fire District

  • Land Ambulance
  • Lake Havasu, CA
  • NPI 1457478075

  O20050427001193

  Same enrollment
• Lucerne Valley Fire District

  • Land Ambulance
  • Lucerne Valley, CA
  • NPI 1962520528

  O20050427001193

  Same enrollment
• San Bernardino County

  dba San Bernardino County Fire Department

  • Land Ambulance
  • San Bernardino, CA
  • NPI 1700947488

  O20050427001193

  Same enrollment

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1679690614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 W 5TH ST FL 2",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924151012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57485 AVIATION DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843009",
            "telephone_number": "760-365-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUCCA VALLEY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "DENNEN",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "909-387-6158"
    },
    "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": "P00012174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70804Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yucca Desert Counseling Licensed Clinical Social Worker P.C.
• Yucca Family Medical Care, Inc.
• Yucca Family Medical Care, Inc.
• Yucca Valley Congregate Living LLC
• Yucca Valley Family Medical Associates, Inc.
• Yucca Valley Medical Clinic
• Yucca Valley Urgent Care, Inc. (Avalon Urgent Care)
• Rebecca Zabala
• Randee Zeller Argirakis
• Yizhou Zheng, PHARMD

• Land Ambulance in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.