Active NPI
City of Cathedral City
- Land Ambulance
- Cathedral City, CA
National Provider Identifier
1831198779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF CATHEDRAL CITY
- Practice address
- 32100 Desert Vista Rd
Cathedral City, CA 92234-4225 - Phone
- (760) 770-8200
- NPI assigned
- Jul 20, 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
- Paul Wilson
- Title
- Fire Chief
- Phone
- (760) 770-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
32100 Desert Vista Rd
Cathedral City, CA 92234-4225
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590005416 | Other | CA | RRB |
| MTE00425F | 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 |
|---|---|---|---|---|
| O20120301000844 | CA | Part B Supplier - Ambulance Service Supplier | 2062458847 | Practice locations: Cathedral City, CA |
National Provider Directory
National Provider DirectoryLocations
68700 Avenida Lalo Guerrero
Cathedral City, CA 92234
27610 Landau Blvd
Cathedral City, CA 92234
Phone (760) 770-8200
36913 Date Palm Dr
Cathedral City, CA 92234
Phone (760) 770-8200
32100 Desert Vista Rd
Cathedral Cty, CA 92234
Phone (619) 770-0340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1831198779",
"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": "32100 DESERT VISTA RD",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922344225",
"telephone_number": "760-770-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CATHEDRAL CITY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-20",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "760-770-8200"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRB",
"identifier": "590005416",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00425F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.