Calaveras Unified School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

SS0561564 Issued in CA

Legal business name

CALAVERAS UNIFIED SCHOOL DISTRICT

Practice address

3304 Hwy 12 BLDG B
San Andreas, CA 95249

Phone

(209) 754-2204

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Belinda Illers

Title

School Nurse

Phone

(209) 754-2204

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Calaveras Children's Dental Project4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Calaveras County Office of Education

  • Local Education Agency (LEA)
  • Angels Camp, CA
  • NPI 1629135702
  NPD tax ID
• Calaveras County Office of Education

  dba Calaveras Children's Dental Project

  • Local Education Agency (LEA)
  • Angels Camp, CA
  • NPI 1861543589
  NPD tax ID
• Vallecito Union School District

  • Local Education Agency (LEA)
  • Avery, CA
  • NPI 1205993771
  NPD tax ID

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144367632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499001",
            "telephone_number": "209-754-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 HWY 12 BLDG B",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-754-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAVERAS UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ILLERS",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "209-754-2204"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS0561564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS0561564",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jolene Bush, LMFT
• Calaveras County (Calaveras County Behavioral Health Children)
• Calaveras County Substance Abuse Program
• Calaveras Emergency Physicians,
• Calaveras Sleep Diagnostics, LLC
• Leslie Calestini
• California Em-I Medical Services, a Medical Corporation
• Rebecca Carrillo, M.D.
• Rea Carroll
• Tiara Carter

• Local Education Agency (LEA) in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Local Education Agency (LEA) in California

• 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.