Skip to content

City of Santa Clara

NPI 1619447653ActiveOrganization· Ambulance· Santa Clara, UT

Ambulance in Santa Clara, Utah, registered in NPPES in December 2018. The authorized official on file is Brock Jacobsen, Finance Director. Medicare paid $76,058 for services to 142 patients in 2024.

Overview

NPI1619447653
StatusActive
Entity typeOrganization
NPI issuedDec 3, 2018
Last updated in NPPESDec 10, 2025
Certified by providerDec 10, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance Primary341600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulance Service Supplier (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients142
Services billed1,859 across 3 procedure codes
Paid by Medicare$76,058

Medicare sources and data years