Anderson Valley Community Service District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

ANDERSON VALLEY COMMUNITY SERVICE DISTRICT

Doing business as

Anderson Valley Community Services District
Anderson Valley Fire Department

Practice address

14281 Hwy 128
Boonville, CA 95415

Phone

(707) 895-2020

NPI assigned

Feb 9, 2017

Last updated

Jul 26, 2024By 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

Andres Avila

Title

Fire Chief

Phone

(707) 895-2020

Specialties & licenses 1

Addresses

Other names 2

• Anderson Valley Community Services District Doing business as
• Anderson Valley Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1881132843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BOONVILLE",
            "state": "CA",
            "postal_code": "954150398",
            "telephone_number": "707-895-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14281 HWY 128",
            "city": "BOONVILLE",
            "state": "CA",
            "postal_code": "95415",
            "telephone_number": "707-895-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON VALLEY COMMUNITY SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "707-895-2020"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Valley Community Services District",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson Valley Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anderson Valley Ambulance Service
• Anderson Valley Health Center
• Mark Justin Apfel, M.D.
• Peter H. Barg, MD
• Cyd Bernstein, LCSW
• Susan J Bridge-Mount, MFT

• Ambulance in Boonville, CA
• Providers in Boonville, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.