Organization Active NPI

La Grande SD

  • Local Education Agency (LEA)
  • La Grande, OR
National Provider Identifier
1134089063
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LA GRANDE SD
Practice address
1305 N Willow St
La Grande, OR 97850-3822
Phone
(541) 663-3200
Fax
(541) 663-3215
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Brian Alejandro Gonzalez
Title
Medicaid Coordinator
Phone
(541) 663-3220

Specialties & licenses 1

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

Addresses

Primary practice location

1305 N Willow St
La Grande, OR 97850-3822

Mailing address

1305 N Willow St
La Grande, OR 97850-3822
Phone (541) 663-3200

National Provider Directory

National Provider Directory
Tax ID family
La Grande SD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1305 N Willow St
La Grande, OR 97850
Phone (541) 663-3200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1134089063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N WILLOW ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503822",
            "telephone_number": "541-663-3200",
            "fax_number": "541-663-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N WILLOW ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503822",
            "telephone_number": "541-663-3200",
            "fax_number": "541-663-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GRANDE SD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "541-663-3220"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.