rc240sx, from NY to CA will go through multiple land-based relay centers and amplifiers. It is incredibly unlikely that you have one fiber from city to city, they're going to be long bundles with patches between at the relay centers.
Fiber's main advantage over copper is its ability to carry signals so much farther between repeaters. And on top of that, there are Erbium Doped Fiber Amplifiers, which are an all-optical amplifier that is built into long-haul fiber itself (a second laser is used to provide the excitation energy for the EDFAs, they then absorb signal laser and re-emit at higher amplitude). Trans-oceanic fiber really is a straight fiber for thousands of miles, because it's kinda hard and kinda pointless to put a relay center in the middle of a major ocean.
But back to your question: if you had a dark fiber from NY to CA, then it would be a bunch of fibers from various bundles with patches in between. There probably wouldn't be that many patches, though, because each one has a loss cost. Much more likely, however, is that you have a SONET link from NY to CA, in which case there is likely to be active equipment in between - maybe some add-drop multiplexers, probably some WDM gear, and definitely patches and SONET repeaters. Most carriers' long-line folks are not terribly open about what exactly is in the middle of your link because they might not be sure themselves (these networks are pretty arcane sometimes) and because they want the flexibility to re-route or otherwise change things, hopefully for the better. The key is that you have an circuit (e.g., SONET) that you can shove bits in one end of, and delta-T later, they come out the other end. For most users, that's all you need to know. (the folks who are dealing with things so critical that they need to know exactly what's in the middle often own their own fiber anyway)