Active NPI
City of Orange
- Land Ambulance
- Orange, CA
National Provider Identifier
1922004555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF ORANGE
- Practice address
- 176 S Grand St
Orange, CA 92866-1535 - Phone
- (714) 288-2501
- NPI assigned
- Jun 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent Bonacker
- Title
- Fire Chief
- Phone
- (714) 288-2501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
176 S Grand St
Orange, CA 92866-1535
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTE00825F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000311 | CA | Part B Supplier - Ambulance Service Supplier | 1850559931 | Practice locations: Orange, CA |
National Provider Directory
National Provider DirectoryLocations
1910 N Shaffer St
Orange, CA 92865
Phone (714) 288-2513
1345 W Maple Ave
Orange, CA 92868
Phone (701) 288-2515
176 S Grand St
Orange, CA 92866
Phone (714) 288-2501
630 The City Dr S
Orange, CA 92868
Phone (714) 364-0619
201 S Esplanade St
Orange, CA 92869
Phone (714) 288-2514
2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300
1800 W Culver Ave
Orange, CA 92868
Phone (714) 978-2534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1922004555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 269110",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958269110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 S GRAND ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928661535",
"telephone_number": "714-288-2501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ORANGE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "BONACKER",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "714-288-2501"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTE00825F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.