Organization Active NPI

Envision Academy

  • Local Education Agency (LEA)
  • Oakland, CA
National Provider Identifier
1205167491
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ENVISION ACADEMY
Practice address
1515 Webster Street
Oakland, CA 94612-3355
Phone
(510) 596-8901
Fax
(510) 596-8905
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Ms. Gia Truong
Title
Superintendent
Phone
(510) 451-2415

Specialties & licenses 1

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

Addresses

Primary practice location

1515 Webster Street
Oakland, CA 94612-3355

Mailing address

111 Myrtle St
Suite 203
Oakland, CA 94607-2525
Phone (510) 451-2415

National Provider Directory

National Provider Directory

Locations

111 Myrtle St
Ste 203
Oakland, CA 94607

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1205167491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MYRTLE ST",
            "address_2": "SUITE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072525",
            "telephone_number": "510-451-2415",
            "fax_number": "510-451-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 WEBSTER STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123355",
            "telephone_number": "510-596-8901",
            "fax_number": "510-596-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "GIA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "510-451-2415",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.