Healthcare Provider Details

I. General information

NPI: 1609334804
Provider Name (Legal Business Name): CITY OF MILPITAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2019
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 S MAIN ST
MILPITAS CA
95035-5322
US

IV. Provider business mailing address

777 S MAIN ST
MILPITAS CA
95035-5322
US

V. Phone/Fax

Practice location:
  • Phone: 408-586-2818
  • Fax: 408-942-3269
Mailing address:
  • Phone: 408-586-2818
  • Fax: 408-942-3269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: KENJU SUZUKI
Title or Position: FIRE CHIEF EMS
Credential:
Phone: 408-586-2824