Organization Active NPI

Sausalito Marin City Schools

  • Local Education Agency (LEA)
  • Sausalito, CA
National Provider Identifier
1073795480
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SAUSALITO MARIN CITY SCHOOLS
Practice address
630 Nevada St
Sausalito, CA 94965-1654
Phone
(415) 332-3190
Fax
(415) 332-9643
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mr. Gerry Klor
Title
Director of Special Education
Phone
(415) 332-3180

Specialties & licenses 1

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

Addresses

Primary practice location

630 Nevada St
Sausalito, CA 94965-1654

Mailing address

630 Nevada St
Sausalito, CA 94965-1654
Phone (415) 332-3190

Other identifiers 1

IdentifierTypeStateIssuer
SS2165474OtherCAMEDICAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

630 Nevada St
Sausalito, CA 94965
Phone (415) 332-3190

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1073795480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 NEVADA ST",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651654",
            "telephone_number": "415-332-3190",
            "fax_number": "415-332-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 NEVADA ST",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651654",
            "telephone_number": "415-332-3190",
            "fax_number": "415-332-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUSALITO MARIN CITY SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "KLOR",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "415-332-3180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "SS2165474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.