Organization Active NPI

Miller Creek Elementary School District

  • Local Education Agency (LEA)
  • San Rafael, CA
National Provider Identifier
1164333126
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MILLER CREEK ELEMENTARY SCHOOL DISTRICT
Practice address
380 Nova Albion Way
San Rafael, CA 94903-3523
Phone
(415) 874-7564
NPI assigned
Sep 16, 2026
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Ms. Cheryl Jacobs, PPS
Title
Mental Health and Behavioral Coor
Phone
(415) 492-3789

Specialties & licenses 1

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

Addresses

Primary practice location

380 Nova Albion Way
San Rafael, CA 94903-3523

Mailing address

380 Nova Albion Way
San Rafael, CA 94903-3523
Phone (415) 874-7564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1164333126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 NOVA ALBION WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033523",
            "telephone_number": "415-874-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 NOVA ALBION WAY",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033523",
            "telephone_number": "415-874-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CREEK ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "MENTAL HEALTH AND BEHAVIORAL COOR",
        "authorized_official_telephone_number": "415-492-3789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PPS"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.