NPIMap

Organization Active NPI

City of Berkeley Fire Dept

  • Ambulance
  • Berkeley, CA
National Provider Identifier
1750455200
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF BERKELEY FIRE DEPT
Practice address
2100 Martin Luther King Jr Way
Berkeley, CA 94704-1109
Phone
(510) 981-5538
NPI assigned
Nov 17, 2006
Last updated
Jan 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Sabina Imrie
Title
Assistant Chief
Phone
(510) 981-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

2100 Martin Luther King Jr Way
Berkeley, CA 94704-1109

Mailing address

PO Box 11914
Berkeley, CA 94712-2914
Phone (510) 981-5538

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ81739ZMedicaidCA

Other names 1

  • City of Berkeley Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000173 CA Part B Supplier - Ambulance Service Supplier 5294634606 Practice locations: Berkeley, CA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
City of Berkeley Targeted Case Management9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2100 Martin Luther King Jr Way
Berkeley, CA 94704
Phone (510) 981-3473

2121 McKinley Ave
Berkeley, CA 94703

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1750455200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11914",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947122914",
            "telephone_number": "510-981-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MARTIN LUTHER KING JR WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041109",
            "telephone_number": "510-981-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BERKELEY FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "IMRIE",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "510-981-5502"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ81739Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Berkeley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.