CITY OF SAN MARINO
NPI 1003815507
Ambulance - Land Transport in San Marino, CA

Active since July 18, 2005
2200 HUNTINGTON DR, SAN MARINO, CA 91108(626) 300-0735 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 17, 2019, Nov 13, 2019 (2 updates tracked since 2019).

About City Of San Marino NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY OF SAN MARINO (NPI 1003815507) is a healthcare organization registered as a land transport in San Marino, California and active in the NPI registry since July 2005. The organization lists Mark Dondanville, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1003815507
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF SAN MARINO
Location Address2200 HUNTINGTON DRSan Marino, CA 91108-2639
Mailing AddressPo Box 269110Sacramento, CA 95826-9110
Organization SubpartNo
Authorized OfficialMark DondanvilleFire Chief · (626) 222-1704
Enumeration DateJuly 18, 2005
Last NPPES UpdateDecember 17, 20192 updates tracked since enumeration
✔ NPI 1003815507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
2200 HUNTINGTON DR, San Marino, CA 91108

Other Identifiers 2

Other590004140Rrb
MedicaidMTE00254FCA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

City Of San Marino is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050826000549Non-DME Part B · Ambulance Service SupplierDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
742 services179 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
188 services162 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
27 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of San Marino's NPI number?

The NPI number for City Of San Marino is 1003815507. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is City Of San Marino located?

City Of San Marino is located at 2200 Huntington Dr, San Marino, CA 91108. The listed phone number is (626) 300-0735.

What is City Of San Marino's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is City Of San Marino enrolled in Medicare?

Yes. City Of San Marino is registered in the Medicare PECOS enrollment system.

When is City Of San Marino's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulance Service Supplier) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for City Of San Marino was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.