Active NPI
City of Sierra Madre
- Land Ambulance
- Sierra Madre, CA
National Provider Identifier
1942200308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF SIERRA MADRE
- Practice address
- 232 W Sierra Madre Blvd
Sierra Madre, CA 91024-2312 - Phone
- (626) 355-7135
- NPI assigned
- Jul 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
- Roger E Lowe
- Title
- Fire Chief
- Phone
- (626) 355-7135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
232 W Sierra Madre Blvd
Sierra Madre, CA 91024-2312
Mailing address
PO Box 269110
Sacramento, CA 95826-9110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120314000444 | CA | Part B Supplier - Ambulance Service Supplier | 6608035472 | Practice locations: Sierra Madre, CA |
National Provider Directory
National Provider DirectoryLocations
232 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 355-3611
242 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 355-3611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1942200308",
"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": "232 W SIERRA MADRE BLVD",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242312",
"telephone_number": "626-355-7135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SIERRA MADRE",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "626-355-7135"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.