Mother Lode Union Elementary

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MOTHER LODE UNION ELEMENTARY

Practice address

3783 Forni Rd
Placerville, CA 95667-6207

Phone

(530) 622-6464

NPI assigned

Nov 15, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa Constancia

Title

Business Offcial

Phone

(530) 622-6464

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mother Lode Union Elementary School

  • Local Education Agency (LEA)
  • Placerville, CA
  • NPI 1316187651
  NPD tax ID

Locations

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1366696429",
    "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"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-15",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "CONSTANCIA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "BUSINESS OFFCIAL",
        "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": []
}

• Lawrence Moore, M.D.
• Chalise Michelle Morgan, D.D.S.
• Toni Morphew
• Jennifer Morton, B.A.
• Lisa Ann Moses-Allen, SP
• Mother Lode Union Elementary School
• Mother Lode Union School District
• Frankey Moua
• Madeline Francis Moule, ASW
• Jaswant S Moyer, PHARM.D.

• Local Education Agency (LEA) in Placerville, CA
• Providers in Placerville, 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 Jan 28, 2010; 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.