Organization Active NPI

Coast2Coast Public Safety Corporation

  • Ambulance
  • Anaheim, CA
National Provider Identifier
1942829197
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
COAST2COAST PUBLIC SAFETY CORPORATION
Practice address
1733 S Douglass Rd Ste H
Anaheim, CA 92806-6034
Phone
(833) 262-7877
Fax
(833) 226-2235
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Jason Villa
Title
Ceo
Phone
(833) 262-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

1733 S Douglass Rd Ste H
Anaheim, CA 92806-6034

Mailing address

1733 S Douglass Rd Ste H
Anaheim, CA 92806-6034
Phone (833) 262-7877

Other practice location 1

4055 Valley Commons Dr Ste H
Bozeman, MT 59718-6434
Phone (833) 262-7877

Other practice location 2

125 Pleasant St
Martinsburg, OH 43037
Phone (833) 262-7877

Other identifiers 2

IdentifierTypeStateIssuer
0423555MedicaidOH
1942829197MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://c2cpublicsafety.com Other

National Provider Directory

National Provider Directory

Locations

1733 S Douglass Rd
Ste H
Anaheim, CA 92806
Phone (833) 262-7877

585 W Line St
Unit 85
Bishop, CA 93515

575 Birch Ct
Ste J
Colton, CA 92324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1942829197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 S DOUGLASS RD STE H",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066034",
            "telephone_number": "833-262-7877",
            "fax_number": "833-226-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 S DOUGLASS RD STE H",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066034",
            "telephone_number": "833-262-7877",
            "fax_number": "833-226-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Valley Commons Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597186434",
            "country_code": "US",
            "telephone_number": "833-262-7877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "OH",
            "postal_code": "43037",
            "country_code": "US",
            "telephone_number": "833-262-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COAST2COAST PUBLIC SAFETY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-262-7877"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423555",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942829197",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://c2cpublicsafety.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Company website contact",
            "address_1": "1733 S Douglass Rd Ste H",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928066034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.