Pacifica School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

SS4168932 Issued in CA

Legal business name

PACIFICA SCHOOL DISTRICT

Practice address

375 Reina del Mar Ave
Pacifica, CA 94044-3052

Phone

(650) 738-6613

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Josie Peterson

Title

Vice Principal

Phone

(650) 738-6613

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184744781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 REINA DEL MAR AVE",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443052",
            "telephone_number": "650-738-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 REINA DEL MAR AVE",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443052",
            "telephone_number": "650-738-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "VICE PRINCIPAL",
        "authorized_official_telephone_number": "650-738-6613"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS4168932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS4168932",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frida Sofia Ortiz-Blandon, M.S., CCC-SLP
• Pacific Neurohealth, a Psychological Corporation
• Pacifica Care Center, Inc.
• Pacifica Linda Mar Inc.
• Pacifica Orthodontics
• Pacifica Sun Optometry Inc
• Babette Marie Pagliaro-Jimenez
• Gina Papa
• Swati Pappu, DDS
• Alicia Marie Pastor, M.S. CCC-SLP

• Local Education Agency (LEA) in Pacifica, CA
• Providers in Pacifica, 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.