Rincon Band of Luiseno Mission Indians

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

RINCON BAND OF LUISENO MISSION INDIANS

Doing business as

Intertribal Ambulance Services
Rincon Fire Department

Practice address

33485 Valley Center Rd
Valley Center, CA 92082-6047

Phone

(760) 297-2300

NPI assigned

May 4, 2021

Last updated

Nov 18, 2022By 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

Chip Duncan

Title

Fire Chief

Phone

(760) 297-2320

Specialties & licenses 1

Addresses

Other names 2

• Intertribal Ambulance Services Doing business as
• Rincon Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1801479076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOVERNMENT CENTER LN",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825344",
            "telephone_number": "760-297-2300",
            "fax_number": "760-297-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33485 VALLEY CENTER RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826047",
            "telephone_number": "760-297-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINCON BAND OF LUISENO MISSION INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "CHIP",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "760-297-2320"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intertribal Ambulance Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rincon Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Valley Center, CA
• Providers in Valley Center, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.