Marinia Academy, Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MARINIA ACADEMY, INC.

Practice address

135 S State College Blvd
Suite 200
Brea, CA 92821-5823

Phone

(800) 522-8240

Fax

(800) 522-8240

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Shani Sambrano, M.ED.

Title

Ceo/ Outreach Coordinator

Phone

(800) 522-8240

Specialties & licenses 1

Addresses

Other names 1

• Marinia Academy Doing business as

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1063894673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S ASSOCIATED RD # 209",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215802",
            "telephone_number": "800-522-8240",
            "fax_number": "800-522-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S STATE COLLEGE BLVD",
            "address_2": "SUITE 200",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215823",
            "telephone_number": "800-522-8240",
            "fax_number": "800-522-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINIA ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "SAMBRANO",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "CEO/ OUTREACH COORDINATOR",
        "authorized_official_telephone_number": "800-522-8240",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marinia Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Samuel Marra, MSW, ACSW

• Local Education Agency (LEA) in Brea, CA
• Providers in Brea, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.