Stockton Unified School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

STOCKTON UNIFIED SCHOOL DISTRICT

Practice address

701 N Madison St
Stockton, CA 95202-1634

Phone

(209) 933-7060

Fax

(209) 933-7061

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Martin

Title

Executive Director

Phone

(209) 933-7010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326194671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MADISON ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MADISON ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021634",
            "telephone_number": "209-933-7060",
            "fax_number": "209-933-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-933-7010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS3968676",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Stockton, CA
• Providers in Stockton, CA by specialty
• Local Education Agency (LEA) in California

• 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.