Organization Active NPI

Barstow Usd

  • Local Education Agency (LEA)
  • Barstow, CA
National Provider Identifier
1053461681
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BARSTOW USD
Practice address
551 S Avenue H
Barstow, CA 92311-2500
Phone
(760) 255-6000
NPI assigned
Jan 12, 2007
Last updated
Oct 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Mr. Tony Wardell
Title
Assistant Superintendent
Phone
(760) 255-6009

Specialties & licenses 1

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

Addresses

Primary practice location

551 S Avenue H
Barstow, CA 92311-2500

Mailing address

3333 Concours
Ontario, CA 91764-4875
Phone (909) 944-7798

Other identifiers 1

IdentifierTypeStateIssuer
SS3667611OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

551 S Avenue H
Barstow, CA 92311
Phone (760) 255-6000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1350432000000",
    "number": "1053461681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644875",
            "telephone_number": "909-944-7798",
            "fax_number": "909-481-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S AVENUE H",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112500",
            "telephone_number": "760-255-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARSTOW USD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "760-255-6009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "SS3667611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.