Organization Active NPI

Cosumnes River College

  • Local Education Agency (LEA)
  • Sacramento, CA
National Provider Identifier
1124555982
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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 DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2017

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)CodeLicenseStatePrimary
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 Other name

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.

Verify at the official NPI Registry.