Organization Active NPI

Gustine Usd

  • Local Education Agency (LEA)
  • Gustine, CA
National Provider Identifier
1003967522
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
GUSTINE USD
Practice address
1500 Meredith Ave
Gustine, CA 95322-1701
Phone
(209) 854-3784
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Wilimek
Title
Superintendent
Phone
(209) 854-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

1500 Meredith Ave
Gustine, CA 95322-1701

Mailing address

1500 Meredith Ave
Gustine, CA 95322-1701
Phone (209) 854-3784

Other identifiers 1

IdentifierTypeStateIssuer
SS2473619OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

1500 Meredith Ave
Gustine, CA 95322
Phone (209) 600-2102

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003967522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MEREDITH AVE",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221701",
            "telephone_number": "209-854-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MEREDITH AVE",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221701",
            "telephone_number": "209-854-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTINE USD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILIMEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "209-854-3784"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "SS2473619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gustine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.