Organization Active NPI

City of Anaheim

  • Land Ambulance
  • Anaheim, CA
National Provider Identifier
1720129430
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF ANAHEIM
Practice address
201 S Anaheim Blvd Ste 300
Anaheim, CA 92805-3858
Phone
(714) 657-4000
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
David P Barry
Title
EMS Director
Phone
(714) 765-4035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

201 S Anaheim Blvd Ste 300
Anaheim, CA 92805-3858

Mailing address

201 S Anaheim Blvd Ste 300
Anaheim, CA 92805-3858
Phone (714) 657-4000

Other names 1

  • Anaheim Fire and Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190823000246 CA Part B Supplier - Ambulance Service Supplier 5799013124 Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory
Tax ID family
City of Anaheim2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2540 E La Palma Ave
Anaheim, CA 92806
Phone (714) 765-4000

4555 E Riverdale Ave
Anaheim, CA 92807
Phone (714) 637-3740

6300 E Nohl Ranch Rd
Anaheim, CA 92807
Phone (714) 765-4311

2141 W Crescent Ave
Anaheim, CA 92801
Phone (714) 765-4000

2736 W Orange Ave
Anaheim, CA 92804
Phone (714) 765-4000

1313 S Harbor Blvd
Anaheim, CA 92802
Phone (714) 765-3417

1717 S Clementine St
Anaheim, CA 92802
Phone (714) 765-4000

2222 E Ball Rd
Anaheim, CA 92806
Phone (714) 772-1776

201 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 785-1000

201 S Anaheim Blvd
Ste 300
Anaheim, CA 92805
Phone (714) 657-4000

8270 E Monte Vista Rd
Anaheim, CA 92808
Phone (714) 998-7202

3078 W Orange Ave
Anaheim, CA 92804
Phone (714) 765-3190

1330 S Euclid St
Anaheim, CA 92802
Phone (714) 765-4000

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1720129430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ANAHEIM BLVD STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053858",
            "telephone_number": "714-657-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ANAHEIM BLVD STE 300",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053858",
            "telephone_number": "714-657-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ANAHEIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "714-765-4035"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.