Active NPI
City of San Clemente
- Land Ambulance
- San Clemente, CA
National Provider Identifier
1699775031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF SAN CLEMENTE
- Practice address
- 910 Calle Negocio
San Clemente, CA 92673-6268 - Phone
- (949) 361-8315
- NPI assigned
- Jul 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
- Matthew Schmelzel
- Title
- Management Analyst-Finance
- Phone
- (949) 218-9601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
910 Calle Negocio
San Clemente, CA 92673-6268
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Phone (949) 218-9601
Other practice location 1
100 Avenida Presidio
San Clemente, CA 92672-3100
Phone (949) 361-8282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ70020Z | Medicaid | CA | |
| 590086456 | 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 |
|---|---|---|---|---|
| O20050802000334 | CA | Part B Supplier - Ambulance Service Supplier | 6507894425 | Practice locations: San Clemente, CA |
National Provider Directory
National Provider DirectoryLocations
100 Avenida Presidio
San Clemente, CA 92672
Phone (949) 361-8282
670 Camino de los Mares
San Clemente, CA 92673
Phone (949) 218-9601
910 Calle Negocio
San Clemente, CA 92673
Phone (949) 361-8315
121 Avenida Victoria
San Clemente, CA 92672
Phone (949) 218-9601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1699775031",
"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",
"telephone_number": "949-218-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 CALLE NEGOCIO",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736268",
"telephone_number": "949-361-8315"
}
],
"practiceLocations": [
{
"address_1": "100 Avenida Presidio",
"address_purpose": "LOCATION",
"city": "San Clemente",
"state": "CA",
"postal_code": "926723100",
"country_code": "US",
"telephone_number": "949-361-8282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CITY OF SAN CLEMENTE",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "SCHMELZEL",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "MANAGEMENT ANALYST-FINANCE",
"authorized_official_telephone_number": "949-218-9601"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ70020Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "590086456",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.