Organization Active NPI

Waugh School District

  • Local Education Agency (LEA)
  • Petaluma, CA
National Provider Identifier
1104730886
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WAUGH SCHOOL DISTRICT
Practice address
860 Maria Dr
Petaluma, CA 94954-6837
Phone
(707) 762-0202
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Mike Gardner
Title
Superintendent
Phone
(707) 762-0202

Specialties & licenses 1

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

Addresses

Primary practice location

860 Maria Dr
Petaluma, CA 94954-6837

Mailing address

860 Maria Dr
Petaluma, CA 94954-6837
Phone (707) 762-0202

National Provider Directory

National Provider Directory

Locations

860 Maria Dr
Petaluma, CA 94954
Phone (707) 762-0202

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1104730886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MARIA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546837",
            "telephone_number": "707-762-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MARIA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546837",
            "telephone_number": "707-762-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUGH SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "707-762-0202"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.