CITY OF SAN MARINO NPI 1003815507

NPI Information

NPI: 1003815507
Provider Name: CITY OF SAN MARINO
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
2200 HUNTINGTON DR
SAN MARINO, CA
ZIP 91108
Phone: (626) 300-0735
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CITY OF SAN MARINO is a land transport ambulance in San Marino, CA. CITY OF SAN MARINO NPI is 1003815507. The provider is registered as an organization entity type.

The provider's business location address is:

2200 HUNTINGTON DR
SAN MARINO, CA
ZIP 91108-639
Phone: (626) 300-0735

The provider's authorized official is Mark Dondanville .
The authorized official title is Fire Chief and has the following contact phone number (626) 222-1704.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 12/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	590004140	OTHER		RRB
2	MTE00254F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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