Organization Active NPI

City of Alhambra

  • Land Ambulance
  • Alhambra, CA
National Provider Identifier
1790780112
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 10, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ41096ZMedicaidCA
756590401OtherCARRB

Other names 1

  • CITY OF ALHAMBRA FIRE DEPARTMENT PARAMEDICS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050802000331 CA Part B Supplier - Ambulance Service Supplier 2062440985 Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.