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About the EMS Agency

Alameda County Emergency Medical Services Agency (ALCO EMS) is a District within the Health Care Services Agency. We are recognized by the California Emergency Medical Services Authority as a "Local EMS Agency," or LEMSA. LEMSA's throughout the state are responsible for planning, implementing, evaluating, and regulating local EMS systems. Many of our responsibilities, and the authority needed to carry our oversight role, are derived from Division 2.5 of the California Health and Safety Code and related chapters of Title 22 of the California Code of Regulations.

To learn more about the roles and responsibilities of LEMSAs, we invite you to read the position paper prepared by the Emergency Medical Services Administrators' Association of California (EMSAAC), which can be found here: The Roles and Responsibilities of Local Emergency Medical Services Agencies Within California

The Alameda County EMS System is comprised of many stakeholders including dispatch centers, first responder agencies, ambulance providers, hospitals, and specialty centers for the emergency care of victims of major trauma, stroke, and certain serious heart conditions.  The Alameda County EMS Agency coordinates the comprehensive emergency medical services system through its contracted and permitted provider organizations, as well as through the development and implementation of policies and procedures for prehospital care.

The EMS Agency works closely with system stakeholders as it seeks to continually improve patient care and service delivery through evidence-based policy and program development.

ALCO EMS promotes health equity through its Injury Prevention Program as well as its EMS Corps and Health Pathway Partnership programs which help prepare young people in underserved communities for careers in health care.


Helping people live healthy and fulfilling lives through training, preparedness, prevention, and medical response.


Provide training, preparedness, prevention, and medical response that improves health and safety by providing equitable, fair, and inclusive services for all.

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The overall goals of the Alameda County EMS Agency are aligned with the Institute for Health Improvement’s Triple Aim for health care, which are:

      • Sustain and improve the quality of clinical care the patient receives
      • Stabilize or reduce the cost of EMS services
      • Improve patient satisfaction
To support achievement of these goals, the Alameda County EMS Agency has identified the following six tenets for EMS System improvement:

      • Preserving a high level of emergency medical response throughout the County
      • Producing a system that is cost-effective while preserving a high level of response and care
      • Maintain a system that is County-wide (i.e., current Exclusive Operating Areas "EOAs"), which delivers consistent service throughout all areas and jurisdictions of the County
      • Maintaining and supporting the current and future EMS workforce
      • Promoting a system that is sustainable for the long term
      • Preserving the appropriate regulatory and oversight relationship between the Local EMS Agency (LEMSA) and its contracted and permitted providers.

 Finally, the essential elements of Alameda County’s EMS System include:

      • Prevention and early recognition
      • Bystander action/system access
      • Emergency Medical Dispatch of ambulances and First Responders
      • Telephone protocols and pre-arrival instructions
      • First Responder ALS services
      • Transport ambulance services (ALS and BLS)
      • Direct (on-line) medical control
      • Receiving facility interface
      • Indirect (off-line) medical control
      • Independent operational, financial, and clinical monitoring and quality improvement by the EMS Agency

EMS Main Office Phone Number: 510-618-2050

For all media related inquiries, please contact: Troy Espera
, Public Information Manager,  Alameda Health Care Services Agency,

EMS Leadership Team:
Lauri McFadden EMS Director
William McClurg Deputy EMS Director
Zita Konik, MD, FAEMS EMS Medical Director
Nicole D'Arcy, MD Deputy EMS Medical Director
Dr. Jocelyn Freeman-Garrick Health Pathway Partnership Director | Health Coaches Director
Kat Woolbright Injury Prevention Program Manager
Adele Pagán IS Manager
Jim Morrissey Supervising EMS Coordinator | MHOAC | Disaster | Terrorism
EMS Coordinator Team:
Naila Francies Clinical Quality Improvement | Data | EHR
Cynthia Frankel EMS for Children | EMS System Plan | Automated External Defibrillators |
Reddinet | Disaster Preparedness Program
Kreig Harmon Clinical Quality Improvement | Paramedic Accreditation | Field Treatment Guidelines | Equipment & Supplies
Michael Jacobs Specialty Systems of Care - Cardiac | Stroke | Trauma
Elsie Kusel Continuing Education | Preceptor & Training Programs |
Community Paramedicine |Specialty Programs
Ryan Preston CA OES Region II Regional Disaster Medical Health Specialist (RDMHS)
Scott Salter EMT Certification | Professional Standards
Leslie Simmons BLS Ambulance Ordinance/Permitting | Receiving Facility Liaison
Carolina Snypes

Special Projects | Procurement Management | BLS Clinical Quality Improvement
Andrew Sulyma

Dispatch Liaison | Fire Department Liaison |
CA OES Region II Regional Disaster Medical Health Specialist (RDMHS)
Gerald Takahashi Educational Programs
Yolanda Takahashi Community Assessment and Transport Team (CATT) Project Manager |
911 EOA Transport Provider Liaison | Unusual Occurences | Compliance
Health Pathway Partnership (HPP) Team:
Sequoia Hall Health Pathway Partnership, Program Manager
Health Coach Program Team:
EMS Corps Team:
Michael Gibson EMS Corps Program Director
Lucrecia Bobo Career Job Placement Coordinator
Deyante Newson EMS Corps Academic Case Manager
Injury Prevention Team:
Laura Fultz Injury Prevention Program Specialist
Ysela Jimenez Community Health Outreach
Carol Powers Senior Injury Prevention Program (SIPP) Coordinator
Information Services Team:
Leo Derevin Data Analysis | Database Administrator | Reporting
Wilman Woo Webmaster | IS Support
Administrative Services Team:
Erica Campos Administrative Specialist II
Michelle Barrientos EMS Secretary
Elise Harris Specialist Clerk I
Sonya Lee Specialist Clerk I
Maria Ramos Specialist Clerk I
Shante Williams Specialist Clerk I
Click map to get directions. OFFICE ADDRESS:
Alameda County Emergency Medical Services
Phone:  510-618-2050
Fax:  510-618-2099

Please note:
Some mapping programs and GPS devices will route you to a location other than our offices. Our office is located near the Northeast corner of the intersection of Davis St and San Leandro Blvd, inside of Creekside Plaza.

8:30 am - 5:00 pm
Monday - Friday