Healthcare Provider Details

I. General information

NPI: 1538872130
Provider Name (Legal Business Name): PASO ROBLES FIRE & EMERGENCY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PARK ST
PASO ROBLES CA
93446-2541
US

IV. Provider business mailing address

900 PARK ST
PASO ROBLES CA
93446-2541
US

V. Phone/Fax

Practice location:
  • Phone: 805-227-7560
  • Fax:
Mailing address:
  • Phone: 805-227-7560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JONATHAN STORNETTA
Title or Position: FIRE CHIEF
Credential:
Phone: 805-227-7560