Organization Active NPI

Santiago Charter Middle School

  • Local Education Agency (LEA)
  • Orange, CA
National Provider Identifier
1285489690
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SANTIAGO CHARTER MIDDLE SCHOOL
Practice address
515 N Rancho Santiago Blvd
Orange, CA 92869
Phone
(714) 997-6366
NPI assigned
Apr 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Dr. Jim D'Agostino
Title
Executive Director
Phone
(714) 997-6366

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X
School Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0200X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

515 N Rancho Santiago Blvd
Orange, CA 92869

Mailing address

515 N Rancho Santiago Blvd
Orange, CA 92869
Phone (714) 997-6366

National Provider Directory

National Provider Directory

Locations

515 N Rancho Santiago Blvd
Orange, CA 92869
Phone (714) 997-6366

Practitioners & affiliated clinicians

Practitioners 2

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": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1285489690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N RANCHO SANTIAGO BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92869",
            "telephone_number": "714-997-6366",
            "fax_number": "714-532-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N RANCHO SANTIAGO BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92869",
            "telephone_number": "714-997-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAGO CHARTER MIDDLE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-997-6366",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.