Active NPI
City of Sacramento
- Ambulance
- Sacramento, CA
National Provider Identifier
1811054745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF SACRAMENTO
- Practice address
- 3230 J St
Sacramento, CA 95816-4405 - Phone
- (916) 264-5352
- NPI assigned
- Jan 2, 2007
- 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
- Gabriel Legaspi
- Title
- Administrative Officer
- Phone
- (916) 808-4593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
3230 J St
Sacramento, CA 95816-4405
Mailing address
3230 J Street
Sacramento, CA 95816-4405
Phone (916) 808-5352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00733F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120215000833 | CA | Part B Supplier - Ambulance Service Supplier | 2860650165 | Practice locations: Sacramento, CA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Sacramento
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Sacramento, CA
- NPI 1073450243
-
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
- NPI 1235360686
Locations
3230 J St
Sacramento, CA 95816
Phone (916) 264-5352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702512000000",
"number": "1811054745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 J STREET",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164405",
"telephone_number": "916-808-5352",
"fax_number": "916-808-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164405",
"telephone_number": "916-264-5352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SACRAMENTO",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A",
"authorized_official_last_name": "LEGASPI",
"authorized_official_first_name": "GABRIEL",
"authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "916-808-4593"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00733F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.