City of Piedmont
Organization Active NPI Ambulance · Piedmont, CA
NPI 1831256759 · NPPES record last updated May 15, 2013
Key facts
- NPI
- 1831256759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- CITY OF PIEDMONT
- Practice address
- 120 Vista Ave
Piedmont, CA 94611-4031 - Phone
- (510) 420-3030
- Fax
- (510) 420-3033
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Warren McLaren
- Title
- Interim Fire Chief
- Phone
- (510) 420-3030
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110421000304 | CA | Part B Supplier - Ambulance Service Supplier | 0143405993 | Practice locations: Piedmont, CA |
National Provider Directory
Locations
120 Vista Ave
Piedmont, CA 94611
Phone (510) 420-3030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
120 Vista Ave
Piedmont, CA 94611-4031
Mailing address
120 Vista Ave
Piedmont, CA 94611-4031
Phone (510) 420-3030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00996F | Medicaid | CA |
Other providers in Piedmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.