Organization Active NPI

Livermore Valley Jusd

  • Local Education Agency (LEA)
  • Livermore, CA
National Provider Identifier
1114040896
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
LIVERMORE VALLEY JUSD
Practice address
685 E Jack London Blvd
Livermore, CA 94551-1855
Phone
(925) 606-3286
NPI assigned
Apr 9, 2007
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
Brenda Miller
Title
Superintendent
Phone
(925) 606-3286

Specialties & licenses 1

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

Addresses

Primary practice location

685 E Jack London Blvd
Livermore, CA 94551-1855

Mailing address

685 E Jack London Blvd
Livermore, CA 94551-1855
Phone (925) 606-3286

Other identifiers 1

IdentifierTypeStateIssuer
SS0161200MedicaidCA

National Provider Directory

National Provider Directory

Locations

685 E Jack London Blvd
Livermore, CA 94551
Phone (925) 606-3200

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114040896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 E JACK LONDON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511855",
            "telephone_number": "925-606-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 E JACK LONDON BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945511855",
            "telephone_number": "925-606-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE VALLEY JUSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "925-606-3286"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS0161200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, 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.