North Shore Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

NORTH SHORE FIRE PROTECTION DISTRICT

Practice address

6257 7TH Avenue
Lucerne, CA 95458

Phone

(707) 274-3100

NPI assigned

Dec 11, 2006

Last updated

Sep 19, 2007By 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

James C Robbins

Title

Fire Chief

Phone

(707) 274-3102

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1730249640",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 7TH AVENUE",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "95458",
            "telephone_number": "707-274-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "707-274-3102"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83714Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine P McKillop
• Anthony Gale Miszklevitz, D.C.
• Steve Mueller
• Rosemary Narvaes
• Teresa Eileen Newton
• Bonnie O'Donnell, CADC II-CA
• Chris Partida
• Brian Thomas Pearson
• Tiffany Pimentel, SUDRC
• PSG-Dr. Gardner Outpatient Program

• Land Ambulance in Lucerne, CA
• Providers in Lucerne, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.