NPIMap

Organization Active NPI

San Bernardino County

  • Land Ambulance
  • San Bernardino, CA
National Provider Identifier
1700947488
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SAN BERNARDINO COUNTY
Practice address
157 W 5TH Street Floor 2
San Bernardino, CA 92415-0451
Phone
(909) 387-5959
Fax
(909) 387-5542
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Steven Castillo
Title
Finance Officer
Phone
(909) 387-6128

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

157 W 5TH Street Floor 2
San Bernardino, CA 92415-0451

Mailing address

PO Box 846707
Los Angeles, CA 90084-6707
Phone (909) 387-6128

Other identifiers 18

IdentifierTypeStateIssuer
G1936AOtherCACOUNTY OF SAN BERNARDINO
ZZZ70804ZOtherCAYUCCA VALLEY
ZZZ93899ZOtherCAYUCCA VALLEY
ZZZ19285ZOtherCASEARLES
421617846OtherCALUCERNE VALLEY
MTE00128FOtherCALUCERNE VALLEY
MTE00974FOtherCALAKE HAVASU
ZZZ93482ZOtherCAWRIGHTWOOD
330815195OtherCAWRIGHTWOOD
952673990OtherCAADELANTO
ZZZ18038ZOtherCALAKE ARROWHEAD
ZZZ35067ZOtherCAWRIGHTWOOD
330296687OtherCALAKE ARROWHEAD
330296690OtherCASEARLES
MTE00380FOtherCASEARLES
ZZZ14819ZOtherCALAKE HAVASU
ZZZ70004ZOtherCALAKE ARROWHEAD
ZZZ700142ZOtherCALUCERNE

Other names 1

  • SAN BERNARDINO COUNTY FIRE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427001193 CA Part B Supplier - Ambulance Service Supplier 3870499130 4 other NPIs on this enrollment
Practice locations: San Bernardino, CA; Yucca Valley, CA; Wrightwood, CA; Twin Peaks, CA; Trona, CA; Phelan, CA; Needles, CA; Lucerne Valley, CA…

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino County D142 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

157 W 5th St
#2
Sn Bernrdno, CA 92415

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arrowhead Regional Medical CenterColton, CA, CCN 050245 Hospital 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Mar 1, 1999
Mar 1, 1999
County of San BernardinoAdelanto, CA, CCN 551157 Federally qualified health center Operational/Managerial Control Jan 1, 2012
County of San BernardinoHesperia, CA, CCN 551129 Federally qualified health center Operational/Managerial Control (100%) Jan 30, 2010
Ontario Health CenterOntario, CA, CCN 921004 Federally qualified health center Other (100%) Jan 30, 2010
San Bernardino Health CenterSan Bernardino, CA, CCN 921003 Federally qualified health center Operational/Managerial Control (100%)
Other		 Jan 30, 2010
Jan 30, 2010

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1700947488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846707",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900846707",
            "telephone_number": "909-387-6128",
            "fax_number": "909-387-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 W 5TH STREET FLOOR 2",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150451",
            "telephone_number": "909-387-5959",
            "fax_number": "909-387-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "909-387-6128"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF SAN BERNARDINO",
            "identifier": "G1936A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YUCCA VALLEY",
            "identifier": "ZZZ70804Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YUCCA VALLEY",
            "identifier": "ZZZ93899Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEARLES",
            "identifier": "ZZZ19285Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUCERNE VALLEY",
            "identifier": "421617846",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUCERNE VALLEY",
            "identifier": "MTE00128F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKE HAVASU",
            "identifier": "MTE00974F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRIGHTWOOD",
            "identifier": "ZZZ93482Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRIGHTWOOD",
            "identifier": "330815195",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADELANTO",
            "identifier": "952673990",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKE ARROWHEAD",
            "identifier": "ZZZ18038Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WRIGHTWOOD",
            "identifier": "ZZZ35067Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKE ARROWHEAD",
            "identifier": "330296687",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEARLES",
            "identifier": "330296690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEARLES",
            "identifier": "MTE00380F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKE HAVASU",
            "identifier": "ZZZ14819Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKE ARROWHEAD",
            "identifier": "ZZZ70004Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUCERNE",
            "identifier": "ZZZ700142Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN BERNARDINO COUNTY FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.