Organization Active NPI

City of San Clemente

  • Land Ambulance
  • San Clemente, CA
National Provider Identifier
1699775031
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ70020ZMedicaidCA
590086456OtherRRB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050802000334 CA Part B Supplier - Ambulance Service Supplier 6507894425 Practice locations: San Clemente, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.