Organization Active NPI

City of Culver City

  • Land Ambulance
  • Culver City, CA
National Provider Identifier
1871599001
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF CULVER CITY
Practice address
9770 Culver Blvd
Culver City, CA 90232-2703
Phone
(310) 253-5900
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Eastman
Title
Fire Chief
Phone
(310) 253-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

9770 Culver Blvd
Culver City, CA 90232-2703

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

Other identifiers 2

IdentifierTypeStateIssuer
590001391OtherCARRB
MTE00071FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809000533 CA Part B Supplier - Ambulance Service Supplier 7618906785 Practice locations: Culver, CA; Culver City, CA

National Provider Directory

National Provider Directory

Locations

11141 Washington Blvd
Culver City, CA 90232
Phone (310) 736-4118

9770 Culver Blvd
Culver City, CA 90232
Phone (310) 253-5900

6030 Bristol Pkwy
Culver City, CA 90230
Phone (310) 253-5900

11252 Washington Blvd
Culver City, CA 90230
Phone (310) 253-5900

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1871599001",
    "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": "9770 CULVER BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322703",
            "telephone_number": "310-253-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CULVER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "310-253-5900"
    },
    "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": "590001391",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00071F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.