Organization Active NPI

Fairfield Suisun Usd

  • Local Education Agency (LEA)
  • Fairfield, CA
National Provider Identifier
1235333162
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
FAIRFIELD SUISUN USD
Practice address
2490 Hilborn Rd
Fairfield, CA 94534
Phone
(707) 399-5072
Fax
(707) 399-5153
NPI assigned
Jun 13, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kari K Sousa
Title
Asst. Superintendent
Phone
(707) 399-5123

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Fairfield Suisun Usd (5 organizations share this tax ID)

Locations

2490 Hilborn Rd
Fairfield, CA 94534
Phone (412) 425-0881

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2490 Hilborn Rd
Fairfield, CA 94534

Mailing address

2490 Hilborn Rd
Fairfield, CA 94534
Phone (707) 399-5072

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
SS4870540MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235333162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HILBORN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-399-5072",
            "fax_number": "707-399-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HILBORN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-399-5072",
            "fax_number": "707-399-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD SUISUN USD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASST. SUPERINTENDENT",
        "authorized_official_telephone_number": "707-399-5123"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS4870540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, 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.