NPIMap

Organization Active NPI

Fortuna Elementary School District

  • Local Education Agency (LEA)
  • Fortuna, CA
National Provider Identifier
1073631271
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
FORTUNA ELEMENTARY SCHOOL DISTRICT
Practice address
843 L St
Fortuna, CA 95540-1921
Phone
(707) 725-2293
Fax
(707) 725-2228
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Becky Giacomini
Title
Business Administrator
Phone
(707) 725-2293

Specialties & licenses 1

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

Addresses

Primary practice location

843 L St
Fortuna, CA 95540-1921

Mailing address

843 L St
Fortuna, CA 95540-1921
Phone (707) 725-2293

Other identifiers 1

IdentifierTypeStateIssuer
SS1262802MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Arcata School District14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

843 L St
Fortuna, CA 95540
Phone (707) 725-2293

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073631271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 L ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955401921",
            "telephone_number": "707-725-2293",
            "fax_number": "707-725-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 L ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955401921",
            "telephone_number": "707-725-2293",
            "fax_number": "707-725-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNA ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIACOMINI",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "707-725-2293",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS1262802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortuna, 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.