Organization Active NPI

City of Indian Wells

  • Ambulance
  • Indian Wells, CA
National Provider Identifier
1881132678
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF INDIAN WELLS
Practice address
44950 Eldorado Dr
Indian Wells, CA 92210-7414
Phone
(760) 346-2489
Fax
(760) 346-0407
NPI assigned
Feb 1, 2017
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Mr. Kevin J McCarthy
Title
Finance Director
Phone
(760) 346-2489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

44950 Eldorado Dr
Indian Wells, CA 92210-7414

Mailing address

PO Box 1380
Suisun City, CA 94585-4380
Phone (760) 346-2489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601000879 CA Part B Supplier - Ambulance Service Supplier 3274800990 Practice locations: Indian Wells, CA

National Provider Directory

National Provider Directory

Locations

44900 Eldorado Dr
Indian Wells, CA 92210
Phone (760) 568-5252

44950 Eldorado Dr
Indian Wells, CA 92210
Phone (760) 346-2489

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1881132678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854380",
            "telephone_number": "760-346-2489",
            "fax_number": "760-346-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44950 ELDORADO DR",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107414",
            "telephone_number": "760-346-2489",
            "fax_number": "760-346-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF INDIAN WELLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "760-346-2489",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.