Organization Active NPI

East Bay Regional Park District

  • Emergency Medical Services (Emergency Medicine) Physician
  • Castro Valley, CA
National Provider Identifier
1912858119
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
EAST BAY REGIONAL PARK DISTRICT
Practice address
17930 Lake Chabot Rd
Castro Valley, CA 94546-1950
Phone
(510) 881-1833
NPI assigned
Feb 4, 2026
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Ray Iverson
Title
Fire Chief
Phone
(510) 690-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU Primary

Addresses

Primary practice location

17930 Lake Chabot Rd
Castro Valley, CA 94546-1950

Mailing address

17930 Lake Chabot Rd
Castro Valley, CA 94546-1950
Phone (510) 881-1833

Other names 1

  • East Bay Regional Park District Fire Department Other name

National Provider Directory

National Provider Directory

Locations

17930 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 881-1833

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1912858119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17930 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461950",
            "telephone_number": "510-881-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17930 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461950",
            "telephone_number": "510-881-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY REGIONAL PARK DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "510-690-6601"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Regional Park District Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.