Organization Active NPI

City of Orange

  • Land Ambulance
  • Orange, CA
National Provider Identifier
1922004555
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Oct 18, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MTE00825FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000311 CA Part B Supplier - Ambulance Service Supplier 1850559931 Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.