COAST LIFE SUPPORT DISTRICT
NPI 1730284225
Ambulance - Land Transport in Gualala, CA

Q: What is Coast Life Support District's NPI number?

The NPI number for Coast Life Support District is 1730284225. It was assigned to this organization in the NPPES registry on September 13, 2006.

Q: What is Coast Life Support District's specialty?

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

Active since September 13, 2006

38901 OCEAN DRIVE, GUALALA, CA 95445(707) 884-1829(707) 884-4663 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Coast Life Support District NPPES

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

COAST LIFE SUPPORT DISTRICT (NPI 1730284225) is a healthcare organization registered as a land transport in Gualala, California and active in the NPI registry since September 2006. The organization lists David Rice, District Fiscal Officer, as its authorized official.

NPPES Registry Identity

NPI1730284225

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameCOAST LIFE SUPPORT DISTRICT

Location Address38901 OCEAN DRIVEGualala, CA 95445-8001

Mailing AddressPo Box 269110Sacramento, CA 95826-9110 · (916) 669-4607 · Fax (916) 471-5107

Phone(707) 884-1829

Fax(707) 884-4663

Organization SubpartNo

Authorized OfficialDavid RiceDistrict Fiscal Officer · (707) 884-1829

Enumeration DateSeptember 13, 2006

Last NPPES UpdateJune 9, 2015

✔ NPI 1730284225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

38901 OCEAN DRIVE, Gualala, CA 95445

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Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ17652ZCA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coast Life Support District 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 IDO20120410000052Non-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.

10,697 services169 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.

180 services147 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.

28 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 Coast Life Support District's NPI number?

The NPI number for Coast Life Support District is 1730284225. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Coast Life Support District located?

Coast Life Support District is located at 38901 Ocean Drive, Gualala, CA 95445. The listed phone number is (707) 884-1829.

What is Coast Life Support District's specialty?

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

Is Coast Life Support District enrolled in Medicare?

Yes. Coast Life Support District is registered in the Medicare PECOS enrollment system.

When is Coast Life Support District'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 Coast Life Support District was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.