Centralia Elementary School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CENTRALIA ELEMENTARY SCHOOL DISTRICT

Practice address

6625 La Palma Ave
Buena Park, CA 90620-2859

Phone

(714) 228-4190

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Linda Matlock

Title

Assistant Superintendent

Phone

(714) 228-3141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083821573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LA PALMA AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202859",
            "telephone_number": "714-228-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LA PALMA AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202859",
            "telephone_number": "714-228-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALIA ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "714-228-3141",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3066472",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Guadalupe Carrillo, MSW
• Carter Medical Management, Inc
• Christine B. Castro
• Celleste Medical, Inc.
• Center Ipa
• Centralia Elementary School District
• Martha Cerda, R.P.T., PA-C
• Juan Manuel Cervantes
• Swapna Chacko
• Ivonne Chaikittirattana

• Local Education Agency (LEA) in Buena Park, CA
• Providers in Buena Park, 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 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.