City of Kingsburg

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF KINGSBURG

Practice address

1460 Marion St
Kingsburg, CA 93631-1927

Phone

(559) 897-6537

Fax

(559) 897-0366

NPI assigned

Jan 25, 2007

Organization subpart

Yes

Parent organization

CITY OF KINGSBURGAs reported in NPPES

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

Authorized official

Name

Mr. Timothy A Ray

Title

Fire Chief

Phone

(559) 897-6531

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

City of Kingsburg

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1871648907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 MARION ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311927",
            "telephone_number": "559-897-6531",
            "fax_number": "559-897-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARION ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311927",
            "telephone_number": "559-897-6537",
            "fax_number": "559-897-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KINGSBURG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF KINGSBURG",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "559-897-6531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ31296Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590423048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California Emergency Physicians Medical Group a Professional Corp
• Julissa Marie Carrasco
• Sienna Castillo, NA
• Dao Chang, PHARMD
• Makaila Marie Chavez
• Courtney Collins
• Samantha Renee Conway
• Ava Rose Covarrubias, N/A
• Creative Horizons LLC
• Creative Horizons LLC

• Land Ambulance in Kingsburg, CA
• Providers in Kingsburg, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.