City of Hermosa Beach

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF HERMOSA BEACH

Practice address

1315 Valley Dr
Ste 201
Hermosa Beach, CA 90254

Phone

(310) 376-2479

NPI assigned

Dec 9, 2005

Last updated

Dec 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Viki Lea Copeland

Title

Finance Director

Phone

(310) 318-0225

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1972588192",
    "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",
            "telephone_number": "800-906-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 VALLEY DR",
            "address_2": "STE 201",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "90254",
            "telephone_number": "310-376-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HERMOSA BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "VIKI",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "310-318-0225"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590011942",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE00434F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Choi, PHARM. D.
• Jennifer Chrisman, PSY.D
• Christine L Spryer (Pacific Physical Therapy and Sports Rehabilitation)
• Noel Lee Chun, M.D.
• Analisa Church, MA, CCC-SLP
• Steven Clark
• Coachcare Mso LLC
• Coast Chiropractic Center
• Coastal Behavior Care, LLC
• Coastal Mindscape Nursing Corporation (Coastal Mindscape)

• Land Ambulance in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.