Organization Active NPI

City of Sierra Madre

  • Land Ambulance
  • Sierra Madre, CA
National Provider Identifier
1942200308
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Sep 19, 2007

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120314000444 CA Part B Supplier - Ambulance Service Supplier 6608035472 Practice locations: Sierra Madre, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.