South Placer Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH PLACER FIRE DISTRICT

Practice address

6900 Eureka Rd
Granite Bay, CA 95746-6531

Phone

(916) 791-7059

NPI assigned

Jul 27, 2005

Organization subpart

No

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

Authorized official

Name

Jason Brooks

Title

EMS Captain

Phone

(916) 791-7059

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1922008481",
    "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": "6900 EUREKA RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466531",
            "telephone_number": "916-791-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLACER FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "916-791-7059"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00823F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan R Snipes, PSY.D.
• Justin Snow
• Dennis Somphone
• Kaitlin Quinn Sorgea
• Coelithia Nicole Sosa, PA
• Cassie Justine Spalding-Dias, M.D.
• Tiana Spano
• Serina Sperduto
• Spine & Nerve Diagnostic Center
• Amanda Splinter, NP

• Land Ambulance in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Land Ambulance in California

• 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.