MEDICARE: CITY OF SANTA CLARA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1487788444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF SANTA CLARA

Provider Business Mailing Address
First Line	:	1900 WALSH AVE
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-2506
Country	:	US
Telephone Number	:	408-615-4945
Fax Number	:	408-988-8153

Provider Business Practice Location Address
First Line	:	1900 WALSH AVE
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-2506
Country	:	US
Telephone Number	:	408-615-4930
Fax Number	:	408-988-8153

Authorized Official
Title or Position	:	STAFF AIDE
Name	:	ROSA E AVALOS
Credential	:	EMT
Telephone Number	:	408-615-4945

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	04/27/2023

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Directions to “CITY OF SANTA CLARA ” Practice Location

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