Organization Active NPI

Jefferson Elementary School District

  • Local Education Agency (LEA)
  • Daly City, CA
National Provider Identifier
1326168048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
SS4168916 Issued in CA
Legal business name
JEFFERSON ELEMENTARY SCHOOL DISTRICT
Practice address
101 Lincoln Ave
Daly City, CA 94015-3934
Phone
(650) 746-2436
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra Gomez
Title
Sr. Acct. Clerk
Phone
(650) 746-2436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X SS4168916 CA Primary

Addresses

Primary practice location

101 Lincoln Ave
Daly City, CA 94015-3934

Mailing address

101 Lincoln Ave
Daly City, CA 94015-3934
Phone (650) 746-2436

Other identifiers 1

IdentifierTypeStateIssuer
SS4168916MedicaidCA

National Provider Directory

National Provider Directory

Locations

101 Lincoln Ave
Daly City, CA 94015
Phone (650) 746-2436

NPI Registry JSON

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": "1326168048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LINCOLN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153934",
            "telephone_number": "650-746-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LINCOLN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153934",
            "telephone_number": "650-746-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SR. ACCT. CLERK",
        "authorized_official_telephone_number": "650-746-2436"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "SS4168916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS4168916",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, 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.