NPIMap

Organization Active NPI

Clayton Valley Charter High School

  • Local Education Agency (LEA)
  • Concord, CA
National Provider Identifier
1174872063
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
CHARTER # 1400 Issued in CA
Legal business name
CLAYTON VALLEY CHARTER HIGH SCHOOL
Practice address
1101 Alberta Way
Concord, CA 94521
Phone
(925) 682-7474
Fax
(925) 825-7859
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Pat Middendorf
Title
Director Special Education
Phone
(925) 682-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X CHARTER # 1400 CA Primary

Addresses

Primary practice location

1101 Alberta Way
Concord, CA 94521

Mailing address

1101 Alberta Way
Concord, CA 94521
Phone (925) 682-7474

National Provider Directory

National Provider Directory

Locations

1101 Alberta Way
Concord, CA 94521
Phone (925) 682-7474

Practitioners & affiliated clinicians

Practitioners 11

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": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1174872063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ALBERTA WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94521",
            "telephone_number": "925-682-7474",
            "fax_number": "925-825-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ALBERTA WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94521",
            "telephone_number": "925-682-7474",
            "fax_number": "925-825-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON VALLEY CHARTER HIGH SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "MIDDENDORF",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR SPECIAL EDUCATION",
        "authorized_official_telephone_number": "925-682-7474"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "CHARTER # 1400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.