Organization Active NPI

Ross Valley Paramedic Authority

  • Land Ambulance
  • Larkspur, CA
National Provider Identifier
1932109972
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ROSS VALLEY PARAMEDIC AUTHORITY
Practice address
400 Magnolia Ave
Larkspur, CA 94939-2035
Phone
(415) 927-5014
NPI assigned
Jul 29, 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
Robert Sinnott
Title
Fire Chief
Phone
(415) 927-5014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

400 Magnolia Ave
Larkspur, CA 94939-2035

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

Other identifiers 1

IdentifierTypeStateIssuer
MTE01004FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041004001178 CA Part B Supplier - Ambulance Service Supplier 5294794400 Practice locations: Larkspur, CA

National Provider Directory

National Provider Directory

Locations

400 Magnolia Ave
Larkspur, CA 94939
Phone (415) 473-4100

777 San Anselmo Ave
San Anselmo, CA 94960
Phone (415) 258-4686

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1932109972",
    "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": "400 MAGNOLIA AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949392035",
            "telephone_number": "415-927-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS VALLEY PARAMEDIC AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SINNOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "415-927-5014"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01004F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, 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.