Active NPI
Cosumnes River College
- Local Education Agency (LEA)
- Sacramento, CA
National Provider Identifier
1124555982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- COSUMNES RIVER COLLEGE
- Practice address
- 8401 Center Pkwy
Sacramento, CA 95823-5704 - Phone
- (916) 691-7487
- NPI assigned
- May 11, 2017
- Organization subpart
- Yes
- Parent organization
- LOS RIOS COMMUNITY COLLEGE DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cory Wathen
- Title
- Vice President, Administration
- Phone
- (916) 691-7252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
8401 Center Pkwy
Sacramento, CA 95823-5704
Mailing address
8401 Center Pkwy
Vice President Student Services
Sacramento, CA 95823-5704
Phone (916) 691-7487
Other names 1
- Los Rios Community College District
National Provider Directory
National Provider Directory- Part of
- Cosumnes River College
Locations
8401 Center Pkwy
Sacramento, CA 95823
Phone (530) 650-2711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1124555982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 CENTER PKWY",
"address_2": "VICE PRESIDENT STUDENT SERVICES",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235704",
"telephone_number": "916-691-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 CENTER PKWY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235704",
"telephone_number": "916-691-7487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSUMNES RIVER COLLEGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LOS RIOS COMMUNITY COLLEGE DISTRICT",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "WATHEN",
"authorized_official_first_name": "CORY",
"authorized_official_title_or_position": "VICE PRESIDENT, ADMINISTRATION",
"authorized_official_telephone_number": "916-691-7252"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Rios Community College District",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.