Organization Active NPI

Mother Lode Union Elementary School

  • Local Education Agency (LEA)
  • Placerville, CA
National Provider Identifier
1316187651
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MOTHER LODE UNION ELEMENTARY SCHOOL
Practice address
3783 Forni Rd
Placerville, CA 95667-6207
Phone
(530) 622-6464
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Ms. Vanessa Constancio
Title
Business Dir.
Phone
(530) 622-6464

Specialties & licenses 1

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

Addresses

Primary practice location

3783 Forni Rd
Placerville, CA 95667-6207

Mailing address

3783 Forni Rd
Placerville, CA 95667-6207
Phone (530) 622-6464

Other identifiers 1

IdentifierTypeStateIssuer
SS0961929MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Mother Lode Union Elementary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1316187651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3783 FORNI RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676207",
            "telephone_number": "530-622-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 FORNI RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676207",
            "telephone_number": "530-622-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER LODE UNION ELEMENTARY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "CONSTANCIO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "BUSINESS DIR.",
        "authorized_official_telephone_number": "530-622-6464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS0961929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.