Clearlake Oaks Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CLEARLAKE OAKS FIRE PROTECTION DISTRICT

Practice address

12655 E Highway 20
Clearlake Oaks, CA 95423-8312

Phone

(707) 998-3294

NPI assigned

Jul 27, 2005

Last updated

Oct 17, 2007By 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

James O Burton

Title

Fire Chief

Phone

(707) 998-3294

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1871593343",
    "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": "12655 E HIGHWAY 20",
            "city": "CLEARLAKE OAKS",
            "state": "CA",
            "postal_code": "954238312",
            "telephone_number": "707-998-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLAKE OAKS FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "707-998-3294"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00533F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maric Santiago Arriaga, CMPSS
• Kim Marie Baughan Young, MFT
• Tiffany Fawn Boggs
• Cynthia Dell Caires, RN
• Cierra Elizabeth Canfield, SUDRCI
• Christopher William Cline
• Heather Connors Herbert, SUDRC
• County of Lake (Big Oak Peer Support Center)
• Breanna Raquelle Cruz
• Celia M Drill, B.A., M.F.A., BCBA

• Land Ambulance in Clearlake Oaks, CA
• Providers in Clearlake Oaks, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.