Organization Active NPI

Stinson Beach Fire Protection District

  • Land Ambulance
  • Stinson Beach, CA
National Provider Identifier
1962401877
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
STINSON BEACH FIRE PROTECTION DISTRICT
Practice address
3401 Highway 1
Stinson Beach, CA 94970
Phone
(415) 868-0622
NPI assigned
Jul 21, 2005
Last updated
Sep 19, 2007By the provider in NPPES
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
Kenny Stevens
Title
Fire Chief
Phone
(415) 868-0622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

3401 Highway 1
Stinson Beach, CA 94970

Mailing address

PO Box 127
Stinson Beach, CA 94970-0127

Other identifiers 1

IdentifierTypeStateIssuer
MTE00995FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1962401877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "STINSON BEACH",
            "state": "CA",
            "postal_code": "949700127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HIGHWAY 1",
            "city": "STINSON BEACH",
            "state": "CA",
            "postal_code": "94970",
            "telephone_number": "415-868-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STINSON BEACH FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "415-868-0622"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00995F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stinson Beach, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.