CITY OF AVALON FIRE DEPARTMENT, AVALON FIRE DEPARTMENT
NPI 1487659413
Ambulance - Land Transport in Avalon, CA

Active since June 16, 2005
420 AVALON CANYON DR, AVALON, CA 90704(310) 510-0203 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2019, Nov 13, 2019, Nov 21, 2016 and 2 more (5 updates tracked since 2016).

About City Of Avalon Fire Department, Avalon Fire Department NPPES

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

CITY OF AVALON FIRE DEPARTMENT, AVALON FIRE DEPARTMENT (NPI 1487659413) is a healthcare organization registered as a land transport in Avalon, California and active in the NPI registry since June 2005. The organization lists Michael Krug, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1487659413
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF AVALON DIRECTOR OF FINANCE
Location Address420 AVALON CANYON DRAvalon, CA 90704
Mailing AddressPo Box 269110Sacramento, CA 95826-9110
Organization SubpartNo
Authorized OfficialMichael KrugFire Chief · (310) 510-0203
Enumeration DateJune 16, 2005
Last NPPES UpdateDecember 10, 20195 updates tracked since enumeration
✔ NPI 1487659413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
420 AVALON CANYON DR, Avalon, CA 90704

Other Names 2

Doing Business AsCity Of Avalon Fire Department, Avalon Fire Department
Doing Business AsCity Of Avalon

Other Identifiers 2

MedicaidZZZ434882CA
Other590014306CA · Rrb

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

City Of Avalon Fire Department, Avalon Fire Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20120418000796Non-DME Part B · Ambulance Service SupplierDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

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.

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.
104 services82 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.
25 services25 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 Avalon Director Of Finance's NPI number?

The NPI number for City Of Avalon Director Of Finance is 1487659413. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as City Of Avalon Fire Department, Avalon Fire Department and City of Avalon.

Where is City Of Avalon Director Of Finance located?

City Of Avalon Director Of Finance is located at 420 Avalon Canyon Dr, Avalon, CA 90704. The listed phone number is (310) 510-0203.

What is City Of Avalon Director Of Finance's specialty?

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

Is City Of Avalon Director Of Finance enrolled in Medicare?

Yes. City Of Avalon Director Of Finance is registered in the Medicare PECOS enrollment system.

When is City Of Avalon Director Of Finance'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 January 31, 2027. 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 Avalon Director Of Finance was last updated on December 10, 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.