CITY OF PETALUMA AMBULANCE SERVICE
NPI 1720087661
Ambulance - Land Transport in Petaluma, CA
About City Of Petaluma Ambulance Service NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITY OF PETALUMA AMBULANCE SERVICE (NPI 1720087661) is a healthcare organization registered as a land transport in Petaluma, California and active in the NPI registry since July 2005. The organization lists Chris Albertson, Fire Chief, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
City Of Petaluma Ambulance Service 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.
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.
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 Petaluma Ambulance Service's NPI number?
The NPI number for City Of Petaluma Ambulance Service is 1720087661. It was assigned to this organization in the NPPES registry on July 20, 2005.
Where is City Of Petaluma Ambulance Service located?
City Of Petaluma Ambulance Service is located at 198 D St, Petaluma, CA 94952. The listed phone number is (707) 778-4364.
What is City Of Petaluma Ambulance Service's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Is City Of Petaluma Ambulance Service enrolled in Medicare?
Yes. City Of Petaluma Ambulance Service is registered in the Medicare PECOS enrollment system.
When is City Of Petaluma Ambulance Service'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 Petaluma Ambulance Service was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# City Of Petaluma Ambulance Service · NPI 1720087661
Land Transport organization in Petaluma, California. Organization record, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1720087661 (Entity type: Organization)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Organization subpart:** No
- **Authorized official:** Chris Albertson, FIRE CHIEF
## Practice location
- **Address:** 198 D ST, Petaluma, CA 94952-3028
- **Phone:** (707) 778-4364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2011
- **Other identifiers:** Medicare PIN ZZZ90066Z (CA); Other 756590183; Medicaid ZZZ31259Z (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1720087661) · Data from the CMS NPPES public registry.