Viejas Band of Kumeyaay Indians

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VIEJAS BAND OF KUMEYAAY INDIANS

Practice address

1 Viejas Grade Rd
Alpine, CA 91901-1605

Phone

(619) 659-2374

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Donald H Butz

Title

Fire Chief

Phone

(619) 659-2374

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Viejas Fire Department/Viejas Ambulance Service Doing business as

Locations

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1770819781",
    "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": "1 VIEJAS GRADE RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011605",
            "telephone_number": "619-659-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEJAS BAND OF KUMEYAAY INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "BUTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "619-659-2374"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770819781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viejas Fire Department/Viejas Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maribel Valdez, M.S.
• Yezenia Arali Vargas
• Lindsay Ann Varley, PHARMD
• Debra Vaughan
• Noemi Vazquez, M.D.
• Veronica Villalobos, LPCC
• Amber Villasenor
• Vista Hill Foundation
• Claudia V Wade
• Michael David Walker, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.