Organization Active NPI

Culver City Usd

  • Local Education Agency (LEA)
  • Culver City, CA
National Provider Identifier
1124185368
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
CULVER CITY USD
Practice address
4034 Irving Place
Culver City, CA 90232-2848
Phone
(310) 842-4220
NPI assigned
Jan 3, 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
David El Fattal
Title
Assistant Superintendent
Phone
(310) 842-4220

Specialties & licenses 1

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

Addresses

Primary practice location

4034 Irving Place
Culver City, CA 90232-2848

Mailing address

2777 Del Monte St
West Sacramento, CA 95691-3811
Phone (916) 375-1707

Other identifiers 1

IdentifierTypeStateIssuer
19-64444OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

4034 Irving Pl
Culver City, CA 90232
Phone 3108424200 ext. 3331

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124185368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 DEL MONTE ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913811",
            "telephone_number": "916-375-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 IRVING PLACE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322848",
            "telephone_number": "310-842-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER CITY USD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EL FATTAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "310-842-4220"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "19-64444",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, 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.