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LIFEWEST NORTHERN CALIFORNIA
NPI 1154886166
Ambulance in Cotati, CA

Active since February 04, 2019CLIA 05D2331433 · Waiver
720 PORTAL ST, COTATI, CA 94931(707) 755-5060(707) 755-5067 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifewest Northern California NPPES

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

LIFEWEST NORTHERN CALIFORNIA (NPI 1154886166) is a healthcare organization registered as an ambulance in Cotati, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Sean Sullivan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1154886166
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameLIFEWEST NORTHERN CALIFORNIA
Location Address720 PORTAL STCotati, CA 94931-3060
Mailing AddressPo Box 2930Santa Rosa, CA 95405-0930 · (800) 811-4045
Phone(707) 755-5060
Fax(707) 755-5067
Organization SubpartNo
Authorized OfficialSean SullivanVice President · (707) 766-2404
Enumeration DateFebruary 4, 2019
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1154886166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X
720 PORTAL ST, Cotati, CA 94931
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2331433

Lifewest Northern California · Cotati, CA
Active · expires Sep 30, 2027
CLIA Number05D2331433
Laboratory TypeAmbulance
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorEd West
Laboratory Phone(800) 222-8669
Laboratory LocationLifewest Northern California720 Portal Street, Cotati, CA 94931
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
95,688 services3,870 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
5,055 services3,300 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
402 services393 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
299 services274 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.
77 services76 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.
63 services59 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORCAL AMBULANCE, LLC
Ambulance
720 PORTAL ST
COTATI, CA 94931
Sonoma County (707) 665-4284

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 Lifewest Northern California's NPI number?

The NPI number for Lifewest Northern California is 1154886166. It was assigned to this organization in the NPPES registry on February 4, 2019.

Where is Lifewest Northern California located?

Lifewest Northern California is located at 720 Portal St, Cotati, CA 94931. The listed phone number is (707) 755-5060.

What is Lifewest Northern California's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Lifewest Northern California hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2331433) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifewest Northern California was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.