Organization Active NPI

Berryessa Union Elementary School District

  • Local Education Agency (LEA)
  • San Jose, CA
National Provider Identifier
1154479814
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
BERRYESSA UNION ELEMENTARY SCHOOL DISTRICT
Practice address
1376 Piedmont Rd
San Jose, CA 95132-2498
Phone
(408) 923-1830
NPI assigned
Jan 8, 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
Patricia Stelwagon
Title
Principal
Phone
(408) 923-1830

Specialties & licenses 1

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

Addresses

Primary practice location

1376 Piedmont Rd
San Jose, CA 95132-2498

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
43-69377OtherCAMEDI-CAL

National Provider Directory

National Provider Directory

Locations

1376 Piedmont Rd
San Jose, CA 95132
Phone (408) 923-1830

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154479814",
    "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": "1376 PIEDMONT RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322498",
            "telephone_number": "408-923-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRYESSA UNION ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STELWAGON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "408-923-1830"
    },
    "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": "43-69377",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, 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.