Active NPI
City of Alhambra
- Land Ambulance
- Alhambra, CA
National Provider Identifier
1790780112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF ALHAMBRA
- Practice address
- 301 N 1St St
Alhambra, CA 91801-2454 - Phone
- (626) 308-4855
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Phelps
- Title
- Fire Chief
- Phone
- (626) 570-5191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
301 N 1St St
Alhambra, CA 91801-2454
Mailing address
Dept la 23211
Pasadena, CA 91185-0974
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ41096Z | Medicaid | CA | |
| 756590401 | Other | CA | RRB |
Other names 1
- CITY OF ALHAMBRA FIRE DEPARTMENT PARAMEDICS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050802000331 | CA | Part B Supplier - Ambulance Service Supplier | 2062440985 | Practice locations: Alhambra, CA |
National Provider Directory
National Provider DirectoryLocations
301 N 1st St
Alhambra, CA 91801
Phone (626) 308-4855
2505 W Norwood Pl
Alhambra, CA 91803
Phone (626) 308-4855
2200 W Main St
Alhambra, CA 91801
Phone (626) 308-4855
1215 S 6th St
Alhambra, CA 91801
Phone (626) 308-4855
Dept LA 23211
Pasadena, CA 91185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575936000000",
"number": "1790780112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 23211",
"city": "PASADENA",
"state": "CA",
"postal_code": "911850974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N 1ST ST",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918012454",
"telephone_number": "626-308-4855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ALHAMBRA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A",
"authorized_official_last_name": "PHELPS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "626-570-5191"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ41096Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "756590401",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CITY OF ALHAMBRA FIRE DEPARTMENT PARAMEDICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.