Organization Active NPI

San Pasqual Uesd

  • Local Education Agency (LEA)
  • Winterhaven, CA
National Provider Identifier
1326199845
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
SAN PASQUAL UESD
Practice address
676 Base Line Rd
Winterhaven, CA 92283-9705
Phone
(760) 572-0222
NPI assigned
Jan 12, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Doug Isaly
Title
Superintendent
Phone
(760) 572-0222

National Provider Directory

National Provider Directory

Locations

676 Base Line Rd
Winterhaven, CA 92283
Phone (760) 572-0222

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

676 Base Line Rd
Winterhaven, CA 92283-9705

Mailing address

3333 Concours
Ontario, CA 91764-4875
Phone (909) 944-7798

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
SS1363214OtherCAMEDI-CAL

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326199845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644875",
            "telephone_number": "909-944-7798",
            "fax_number": "909-481-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 BASE LINE RD",
            "city": "WINTERHAVEN",
            "state": "CA",
            "postal_code": "922839705",
            "telephone_number": "760-572-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PASQUAL UESD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISALY",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "760-572-0222"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "SS1363214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterhaven, 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.