City of Coalinga

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF COALINGA

Practice address

300 W Elm Ave
Coalinga, CA 93210

Phone

(559) 935-1652

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Dwayne Gabriel

Title

Fire Chief

Phone

(559) 935-1652

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1912907668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45159",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450159",
            "telephone_number": "916-381-6552",
            "fax_number": "916-471-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ELM AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "93210",
            "telephone_number": "559-935-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COALINGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "559-935-1652"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ35677Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "756590647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Carmona
• Jose Ernesto Castolo, N.P.
• Tat Cheung, PH.D.
• Adrian Yongtae Cho
• Carrie L Christensen, LCSW
• Cambria Kinsleigh Clark, M.ED, PPS CREDENTIAL
• Coalinga Healthcare Inc
• Coalinga Medical Center, LLC
• Coalinga Medical Center, LLC
• Coalinga Medical Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.